I do not want the doctor to tell my parents about my self harm?

Client confidentiall: Client confidentiality is to the patient/ client but by law if harm is expressed to be due to another individual it must be reported. Hipaa laws are in place to protect client information. Anything that is discussed in therapy should be confidential .To release information to your parents you would have to sign a release of information disclouser. If not, no infomation should be given out.