While confidentiality is an ethical, legal, and treatment requirement, the methods of communication used in the modern world have moved the boundaries to places far different from those envisioned by the developers of psychiatry, especially child and adolescent psychiatry. The speed and intrusiveness of e-mails, cell phones, and social networking have expanded the ways of communication but have also increased the possibilities for breaching the patients’ confidentiality. This doesn’t even consider the implications of electronic record keeping being implemented and the possibilities created by this medium. This program examines the problems presented by modern connectivity and provides recommendations to limit or avoid the legal ramifications brought on by these changes.