Yes, pretty much.  There are a few exceptions, though.  These are:
if there is a danger to someone’s life (yours and/or someone else),
reported emotional, physical, or sexual abuse and/or neglect of a minor (ages 17 and under),
reported emotional, physical, or sexual abuse and/or neglect of a dependent adults (i.e. elderly person or someone with special needs),
court order signed by a judge, or
you sign a consent form for your therapist to discuss your treatment with a specific person/professional (e.g. primary care doctor, attorney, etc.)