Answer - E - All of the above things are important to consider when communicating via e-mail. No e-mail communication can be guaranteed to be safe or secure. Information is at risk of interception by others and, as a result, could be misinterpreted or misused against your clients. You may also want to consider federal HIPPA regulations before opening any e-mail discussions. While this is true for all therapists and counselors, it is especially the case for those who handle substance abuse issues, as accidental disclosure of treatment can cause significant employment or family issues.