Client confidentiality can be expressed as an important ethical principle that counsellors must adhere in order to protect clients' information, such as sensitive demographic and personal data. However, the borderless nature of online counselling has raised new unique challenges regarding client confidentiality. Consequently, this study was conducted to examine the specific issues concerning client confidentiality in online counselling. Based on previous studies, one of the biggest factors that contributes to client confidentiality issues is the counsellors' ability to manage and secure digital data. To fill this research gap, this review highlights the key challenges in client confidentiality to raise awareness, thereby drawing significant attention to measures that can resolve these emerging issues.
Alhammad, N., Alajlani, M., Abd-alrazaq, A., Epiphaniou, G., & Arvanitis, T. (2024). Patients’ perspectives on the data confidentiality, privacy, and security of mHealth apps: Systematic review. Journal of Medical Internet Research, 26, e50715. https://doi.org/10.2196/50715?
Al-Mahrouqi, T., Al-Alawi, K., Al-Alawi, M., Balushi, N. A., Ghailani, A. A., Sabti, H. A. A., & Sinawi, A. H. (2022). A promising future for tele-mental health in Oman: A qualitative exploration of clients and therapists’ experiences. SAGE Open Medicine, 10. https://doi.org/10.1177/20503121221086372
Andreadis, K., Muellers, K., Lin, J. J., Mkuu, R., Horowitz, C., Kaushal, R., & Ancker, J. (2024). Navigating privacy and security in telemedicine for primary care. The American journal of managed care, 30 6 Spec No., SP459-SP463. https://doi.org/10.37765/ajmc.2024.89553
Anil, K., Bird, A., Bridgman, K., Erickson, S., Freeman, J. A., McKinstry, C., Robinson, C., & Abey, S. (2023). Telehealth competencies for allied health professionals: A scoping review. Journal of Telemedicine and Telecare, 31, 487 - 499. https://doi.org/10.1177/1357633x231201877
Anindya, J., Budiman, N., & Nadhiroh, N. A. (2024). Etika profesi bimbingan dan konseling: Menghadapi tantangan kerahasiaan dalam layanan konseling online. Indonesian Journal of Educational Counseling, 8(1), 25–35. https://doi.org/10.30653/001.202481.329
Bu?a, A., Özdemir, M., & Bozbay?nd?r, F. (2026). Exploring psychological counselors' perspectives on the characteristics and dynamics of online counseling. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1708309
Chang, X., Hu, X., Shao, Y., & Qiao, Y. (2026). Ethical Norms, Challenges, and Associated Factors in Telemental Health: Perspectives from Psychiatric and Psychological Professionals in China. Healthcare, 14. https://doi.org/10.3390/healthcare14111472
Drake, C. Y. (2026). Respecting My Privacy, Ethically: Confidentiality, Cultural Context, and Ethical Decision-making in Adolescent Addiction Counseling. Journal of Addiction Science. https://doi.org/10.17756/jas.2026-070
du Preez, E., van Kessel, K., & Webb, X. (2024). A systematic review of the ethical considerations of delivering video-based therapy. Psychotherapy and Counselling Journal of Australia, 12(1). https://doi.org/10.59158/001c.115608?
Farrer, L., Clough, B. A., Bekker, M. J., Calear, A., Werner-Seidler, A., Newby, J., Knott, V., Gooding, P., Reynolds, J., Brennan, L., & Batterham, P. (2022). Telehealth use by mental health professionals during COVID-19. The Australian and New Zealand Journal of Psychiatry, 57, 230 - 240. https://doi.org/10.1177/00048674221089229
Fel'man, E., Kerridge, I., Vered, M., & Komesaroff, P. (2026). Technology and the clinical encounter: a qualitative study of mental health clinician and patient experiences of telemedicine. BMC Health Services Research, 26. https://doi.org/10.1186/s12913-025 13764-9
Friehs, B. (2023). Die Verschwiegenheitspflicht im psychotherapeutischen Setting unter besonderer Berücksichtigung von virtuellen Angeboten: Ein Vergleich der gesetzlichen Grundlagen in Österreich und Deutschland [Confidentiality obligation in settings with special consideration of online services: A comparison of the legal provisions in Austria and Germany]. Psychotherapie Forum, 27(3–4), 121–127. https://doi.org/10.1007/s00729-023-00232-0
Geraldo, A., Dores, A., Mendes-Santos, C., & Barbosa, F. (2024). Guidelines for the Provision of Remote Psychological Services. European Psychologist. https://doi.org/10.1027/1016-9040/a000523
I?can, G., & Çöme, O. (2026). Security and privacy in e-health technologies: a scoping review of challenges and strategies in primary care. Family practice, 43 2. https://doi.org/10.1093/fampra/cmag006
John, S., Mani, B. P., & Jose, B. (2026). Caught between confidentiality, and compulsion: the global ethics-law dilemma in psychotherapy. Frontiers in Psychology, 16. https://doi.org/10.3389/fpsyg.2025.1665158
Kafka, J., Kothgassner, O., & Felnhofer, A. (2024). A Matter of Trust: Confidentiality in Therapeutic Relationships during Psychological, and Medical Treatment in Children, and Adolescents with Mental Disorders. Journal of Clinical Medicine, 13. https://doi.org/10.3390/jcm13061752
Luepker, E. T. (2022). Developing Policies, and Procedures for Protecting Confidentiality, and Managing Its Exceptions. Record Keeping in Psychotherapy, and Counseling. https://doi.org/10.4324/9781003150008-7
Manalili, J. (2024). Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals. Diversitas Journal. https://doi.org/10.48017/dj.v9ispecial1.2870
Mohammadzadeh, Z., Maserat, E., & Davoodi, S. (2022). Role of Telemental Health During the COVID-19 Pandemic: An Early Review. Iranian Journal of Psychiatry and Behavioral Sciences. https://doi.org/10.5812/ijpbs.116597
Moudatsou, M., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2024). Evaluation of online counseling through the working experiences of mental health therapists amidst the COVID-19 pandemic. Healthcare, 12(4), 495. https://doi.org/10.3390/healthcare12040495
Pedersen, G., Pfeffer, K. A., Brown, A. D., Carswell, K., Willhoite, A., Schafer, A., & Kohrt, B. (2022). Identifying core competencies for remote delivery of psychological interventions: a rapid review. Psychiatric services (Washington, D.C.), 74, 292 - 304. https://doi.org/10.1176/appi.ps.202100677
Petro, G., & Gonzales, A. L. (2023). How Mental Healthcare Professionals Navigate Telehealth: Extensions of Communication Privacy Management and Electronic Propinquity Theories. Human Communication & Technology. https://doi.org/10.17161/hct.v3i1.18745
Pillay, Y. (2025). Ethical decision-making guidelines for mental health clinicians in the artificial intelligence (AI) era. Healthcare, 13(23), 3057. https://doi.org/10.3390/healthcare13233057?
Rahsepar Meadi, M., Sillekens, T., Metselaar, S., van Balkom, A., Bernstein, J., & Batelaan, N. (2025). Exploring the ethical challenges of conversational AI in mental health care: Scoping review. JMIR Mental Health, 12, e60432. https://doi.org/10.2196/60432
Sablone, S., Bellino, M., Lagona, V., Franco, T. P., Groicher, M., Risola, R., Violante, M. G., & Grattagliano, I. (2024). Telepsychology revolution in the mental health care delivery: a global overview of emerging clinical, and legal issues. Forensic Sciences Research, 9(3), owae008. https://doi.org/10.1093/fsr/owae008
Salles, A. A., & Castelo, L. (2023). Privacy, and confidentiality in therapeutic process: contributions from bioethics. Revista Bioética. https://doi.org/10.1590/1983 803420233340en
Schlief, M., Saunders, K., Appleton, R., Barnett, P., Juan, V. S. N., Foye, U., Olive, R., Machin, K., Shah, P., Chipp, B., Lyons, N., Tamworth, C., Persaud, K., Badhan, M., Black, C., Sin, J., Riches, S., Graham, T., Greening, J., & Johnson, S. (2022). What works for whom with telemental health? A rapid realist review. https://doi.org/10.1101/2022.03.21.22272706
Schlief, M., Saunders, K., Appleton, R., Barnett, P., Juan, V. S. N., Foye, U., Olive, R., Machin, K., Shah, P., Chipp, B., Lyons, N., Tamworth, C., Persaud, K., Badhan, M., Black, C., Sin, J., Riches, S., Graham, T., Greening, J., & Johnson, S. (2022). Synthesis of the Evidence on What Works for Whom in Telemental Health: Rapid Realist Review.Interactive Journal of Medical Research, 11. https://doi.org/10.2196/38239
Shaffer, K., Turner, K., Siwik, C., Gonzalez, B., Upasani, R., Glazer, J., Ferguson, R. J., Joshua, C., & Low, C. A. (2023). Digital health and telehealth in cancer care: a scoping review of reviews. The Lancet. Digital Health, 5, e316 - e327. https://doi.org/10.1016/s2589-7500(23)00049-3
Shchedrinskaya, O., & Bebchuk, M. (2020). Online Counseling through the lens of Professional Ethics: Challenges, and solutions. Counseling Psychology, and Psychotherapy, 28(3), 84–99. https://doi.org/10.17759/cpp.2020280306
Stoll, J., Müller, J. A., & Trachsel, M. (2020). Ethical Issues in Online Psychotherapy: A Narrative review. Frontiers in Psychiatry, 10, 993. https://doi.org/10.3389/fpsyt.2019.00993
Syamila, D., & Marjo, H. K. (2022). Etika Profesi Bimbingan dan Konseling: Konseling Kelompok Online dan Asas Kerahasiaan. Jurnal Paedagogy. https://doi.org/10.33394/jp.v9i1.4527
Tazi, F., Dykstra, J., Rajivan, P., Madathil, K. C., Hughart, J., McElligott, J., Votipka, D., & Das, S. (2024). Improving Privacy and Security of Telehealth. Communications of the ACM, 67, 27 - 30. https://doi.org/10.1145/3651223
Witteveen, A., Young, S., Cuijpers, P., Ayuso-Mateos, J., Barbui, C., Bertolini, F., Cabello, M., Cadorin, C., Downes, N., Franzoi, D., G?sior, M., John, A., Melchior, M., McDaid, D., Palantza, C., Purgato, M., Van Der Waerden, J., Wang, S., & Sijbrandij, M. (2022). Remote mental health care interventions during the COVID-19 pandemic: An umbrella review. Behaviour Research and Therapy, 159, 104226 - 104226. https://doi.org/10.1016/j.brat.2022.104226
Wendy, H., Gballa, M. J., & Ronda, M. L. (2024). Ethical issues raised in using online tele mental health (OTH): a review of studies. Diversitas Journal, 9(1_Special). https://doi.org/10.48017/dj.v9ispecial1.2875
Yu, J., & Bekerian, D. (2023). Telemental Health and Diverse Populations amid COVID-19. Encyclopedia. https://doi.org/10.3390/encyclopedia3010017
Ahmad, N. A. A. W., Nasrol, N. A. M. M., & Huong, G. X. (2026). Client Confidentiality Issues in Online Counselling: A Narrative Review. International Journal oAhmad, N. A. A. W., Nasrol, N. A. M. M., & Huong, G. X. (2026). Client Confidentiality Issues in Online Counselling: A Narrative Review. International Journal of Academic Research in Business and Social Sciences, 16(9), 1707–1715.f Academic Research in Business and Social Sciences, 16(9), 1707–1715.
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