Ensure confidentiality and session containment

The manuals converge on the need for a contained and private therapeutic setting. Across the extracts, the sources recommend protecting participant confidentiality, limiting exposure to outside contact and distractions, and handling written, verbal, and assessment information confidentially. Several also emphasise secure remote practice, including private rooms, approved videoconference platforms, avoiding recording, and preventing identifiers or PHI from appearing in emails or screen sharing. They also agree that session containment includes clear boundaries around access and conduct. The manuals describe keeping nonessential persons out of the room, restricting phones, television, and other stimulation, and maintaining access to emergency communication when remote work is involved. In group settings, the extracts add limits on sharing others’ information and prohibit video, audio, or screenshot recording. The manuals differ mainly in setting and emphasis. Some focus on in-person containment during MDMA or psilocybin sessions, including remaining in the treatment area, overnight stay, co-therapist presence, and transport arrangements. Others focus on telehealth privacy and data handling, with specific instructions about secure platforms, HIPAA-compliant procedures, and remote emergency readiness. A few sources also extend confidentiality into group therapy and research administration, where the concern is not only privacy in the session itself but also preventing disclosure of other members’ experiences or protected study materials.