PT - JOURNAL ARTICLE AU - Victoria Williamson AU - D Murphy AU - S A M Stevelink AU - E Jones AU - S Wessely AU - N Greenberg TI - Confidentiality and psychological treatment of moral injury: the elephant in the room AID - 10.1136/bmjmilitary-2020-001534 DP - 2021 Dec 01 TA - BMJ Military Health PG - 451--453 VI - 167 IP - 6 4099 - http://militaryhealth.bmj.com/content/167/6/451.short 4100 - http://militaryhealth.bmj.com/content/167/6/451.full SO - BMJ Mil Health2021 Dec 01; 167 AB - Morally injurious incidents may present ethical or legal quandaries, yet how military or civilian clinicians should manage such disclosures is poorly understood. Individuals who experience moral injury may be reluctant to seek help due to concerns about the legal ramifications of disclosure. Guidance on breaching patient confidentiality differs by regulatory body but also by profession, geography and context. As moral injury continues to become recognised in clinical practice, in the military and elsewhere, clarity is needed regarding best practice in managing moral injury cases and the dilemmas they present.