This "dangerous patient" exception stems from the legal notion that psychotherapists have a "duty to protect" both the community and the patients they serve.

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The "dangerous patient" exception is based on the legal principle that psychotherapists have a duty to protect the community and their patients, which may involve breaking confidentiality if a patient poses a serious threat of violence to themselves or others. This was established in cases like Tarasoff v. Regents of the University of California.

This "Dangerous Patient" Exception Stems from the Legal Notion That