If you explain confidentiality limits and a young person decides not to tell you what’s bothering them, what should you do?

• A. Tell them you care and if they change their mind you’re there to listen.
• B. Pressure them to share anyway.
• C. End the conversation.
• D. Tell their parent immediately.

Answer: (A)

Respecting confidentiality while staying available to listen is key when a young person withholds details. The best approach is to show you care and let them know you’re there to listen if they decide to share later. This reinforces trust, supports their autonomy, and keeps the relationship open for future conversations without pressuring them.

Pushing them to disclose can erode trust and make them shut down further. Ending the conversation too soon misses an opportunity to provide ongoing support. Telling a parent immediately, unless there’s a clear safety or legal requirement, breaks confidentiality and can damage the therapeutic relationship. By affirming care and keeping the door open, you create a safe space for them to come back and talk when they’re ready.