This should be one of the things you discuss when you make your agreement with your therapist at your first session. It is possible that you may be charged for a missed session.
This should also be agreed to at your initial session with your chosen service provider. Sometimes a therapist may expect payment for missed sessions including vacation days. If you know you will be on vacation in the near future, make sure this is made clear in your agreement. Don’t be afraid to ask. Therapists expect you will have questions and are prepared to answer them professionally.
Typically, the limits to what information is shared and what information remains confidential is discussed with you before you begin therapy, and any time something arises during a session that may require sharing information. Usually what you talk about in your sessions is confidential. Even when therapists consult their supervisors from time to time, they protect the identities of their clients as much as possible. However there may be some unique circumstances that may prompt your therapist to talk to another professional. This is usually done with your permission. For example, if there appears to be a serious risk of harm to you or to others, the counsellor or psychotherapist is obligated by law to act in a way that protects you or others from harm. These circumstances should be explained to you at the beginning of your therapy. Feel free to check regularly with your therapist if confidentiality is a concern of yours.
It is your choice what you tell your therapist; however it may be helpful to give them an idea of what has brought you to therapy to enable the process to be effective.
Your sessions with your therapist are private. As mentioned earlier, any need to share information is discussed with you to obtain your permission. To release information to your doctor, a “third party release form” would be required. This form would require your signature.
This is not generally accepted in individual therapy. If you feel you need someone with you, discuss this with your potential therapist. Some cultures would not find bringing a friend to be a problem. If you think there might be communication difficulties, it may be helpful to have an interpreter with you in the room.
Group therapy may be an option for you.
For individuals who feel uncomfortable being in a session alone, group therapy might be an option, depending on the reason that therapy is being sought.
Always remember that it is all right to question what your therapist says or does in a therapy session.