 Individuals concerned about discrimination, shame or stigma have an interest in controlling the flow of information about their health, and arguably the moral right to do so. Mental and other behavioral health care consumers continue to face stigma and discrimination in a world in which getting what they need requires a virtual surrender of confidentiality to a bevy of other people, including family members, doctors, social workers, teachers, hospitals, insurers, and law enforcement (APA 2002; AAMFT 2001; Dickson 1998).