 Health Care providers are ascribed ethical obligations to avoid casually discussing confidential patient matters in social media or in e-mail that may not be entirely private or secure (Chretien et al. 2011). They must avoid discussing patient matters on mobile phones in public places, such as in office corridors, hospital lobbies and on trains. Confidentiality can be violated by unauthorized recordings and disclosure of medical photographs. Photography plays a role in medical specializations including dermatology and plastic surgery, giving raise to concerns about ethical uses of graphic images of patients’ faces and bodies. At a minimum informed consent would appear to be required for making and disclosing photographs on whose basis a person could be identified. Ethically imperative consent was not obtained in a notorious U.S. case: it came to light in 2013 that a physician affiliated with Johns Hopkins University Hospital secretly videotaped hundreds of his obstetrics and gynecology patients with pornographic intent (Allen 2015). Videotaping has come to play a routine role in family therapy and is not considered unethical by typical practitioners (AAMFT 2001). Many clinicians believe the therapeutic and training benefits of videotaping outweigh the risks of unauthorized use or disclosure. Even if unauthorized use or disclosure were not a concern, an ethical question would remain. Should behavioral health clients be called upon to create recordings which inherently sacrifice the privacy of their homes, communications and expressions of emotions?