Under managed care your psychotherapy records are available
    to insurers and employers and a therapist should notify the
    patients accordingly.  To avoid this breach in essential
    confidentiality, computer-mediated therapy programs should
    be developed that can be used at home and whose confidential
    records are not available to insurers, employers, or managed
    care companies.

    Footnote -

        It is par for the course that whatever I say here about
        the issues of computer therapy enrages flamers who charge
        me with advertising myself and my work.  For a balanced
        discussion of ethical and professional issues see
        Ford,B.D.(1993) Computers in Human Behavior, 9:387-400.
                            KMC