Do Cultural Norms Dictate who Initiates Couples Therapy?

The Health Insurance Portability and Accountability Act (HIPPA) protects all identifiable health information, referred to as Protected Health Information (PHI), held or transmitted by psychotherapists or their business associates in any form or media whether electronic, paper or oral. There are no restrictions on use or disclosure of de-identified health information in which real names, addresses and phone numbers of clients, relatives, employers, work associates, friends and neighbors have been removed.