The Pennsylvania Supreme Court has been clear that it holds the psychiatrist-patient privilege and confidentiality in mental health records in the highest regard. But what happens to that privilege and confidentiality when a plaintiff files a personal injury lawsuit that could conceivably call their mental health into question? Do allegations of emotional upset, pain or anguish automatically waive the privilege normally attached to mental health records? Is the defendant entitled to review all mental health records pertaining to that plaintiff in order to defend against the plaintiff's claims?