Ethics, No Secrets Policy and Counselor Values

b. What special issues of confidentiality may arise in the case? How should David address these issues? Even though David most recently been in a counseling relationship with the husband, he stills have a legal “duty” to the husband, who was originally client..In most circumstances, he can release the husband 's individual counseling records to her upon his written request. However, he may be compromising his ethics and breaching confidentiality by releasing information to the wife that he obtained from the husband or learned during a joint counseling session unless he have written authorization of both or a court order (2005 ACA Code of Ethics, Section B.2.c.)

Of course, when contemplating marriage counseling, you will want to find a therapists with a specialty or interest in marriage and family relational issues.

Based on my currentl level of knowledge and skill, the one recommendation I might make to the counselor to improve her effectiveness would be to encourage the client to speak more on how she feels about coming out to her husband, and the overall impact this may have on their relationship. The client appeared more concerned about her immediate family’s reaction than that of her husband. This is a delicate situation. Dr. Patterson does a great job of cautiously allowing the client to talk through how she is feeling without placing too much pressure on her.

Another issue that these articles made me see was that, after disclosure clients may begin to use triangulation and show signs of disequilibrium within the system. It is evident that if you are not trained and knowledgeable in handling these types of situations, then this would be even more challenging for you as a counselor. I believe learning more about the family system and how it works is essential to being able to handle these situations and leads to being more mindful of such challenges. Again, letting

David is a 35 year old and married with two kids came to my office for counseling. In his intake session, I will go over an informed consent. Remley & Herlihy (2016), believes that counselors who obtain consent before clients begin their sessions shows the best practice and ethical way to begin treatment. David has a right to know what he is getting into. I would go over and explain HIPPA laws to him. I would explain to David that his information may be sent to the insurance company for payment or if I need to give him a referral for additional services. I would discuss some of David's information, but with his consent first. I would explain to him that his information will not be given to wife without his verbal

Thank you for your post. I agree that in your scenario, the counselor should consult with her colleagues to get their opinion. It may be harmless, but in ACA code of ethics (2014) section A.6.a previous relationships, counselors should consider the risks and benefits of accepting as clients those with whom they have had a previous relationship. If Jennifer chooses to except Grace invitation for coffee, she should document to cover herself. In section A.6.c, documenting boundary extensions, if counselors extend boundaries that are described in sections A.6.a and A.6.b, they must officially document, prior to interaction.

Treating individuals as always as ends and never as means to an end it the primary obligation in Deontology theories. It means to recognize that the client’s value does not depend on anything else - it does not depend on whether they are having an affair or being fully committed into fixing their marriage. Value is not dependent on what the client does/did. Therefore the therapist approach should be solely based on the sense of duty to act in a way that is right and so leaving her biases aside. In fact, every individual has different sense of morality on certain topics such as in this case, extramarital relationship, and so what is right and what is wrond is determied by its conformity with a moral norm. According to Kantians’s theory, what

Prior to discussing the ethical dilemmas in counseling married couples one first has to define what the counseling session would look like. First and foremost, one should note that when counseling a couple, the counselor must identify the “couple” as the “client” (Gerald Corey, 2011). In other word, the counselor has a trifold counseling experience. The counselor must not only get to know each part of the couple as an individual on their own but also the couple as a whole. This process is made easier through the initial meeting with the couple.

Welcome to the Mental Health Healing Institution, and thank you for choosing us in assisting you in your journey of healing to become the best version of yourself. This document contains important information about the practice, methods, policies, and services that are provided here. Please read carefully and make note of any questions you have so that they might be answered right away. By signing this document you are agreeing to the terms and conditions of treatment and will represent a written contract between you and your counselor.

When you look at the case of the husband who started individual counseling then his wife joined with the intentions of saving their marriage there are many ethical issues that could arise for the therapist. First there is the issue of the secret the husband is hiding about his latest affair, because the counselor did not clearly state her policy on keeping secrets the husband has an expectation of her keeping his secret about his affair. The therapist cannot tell the wife without breaking the confidentiality of the husband, however how can she continue to treat them as a couple if she has to hold this information from the wife when part

As a potential counselor, I would recognize their strengths as an individuals and as a married couple. Within their strengths, I would focus on exploring their values and their expression of communication (love). Understanding that each person has a different love language or expression of communication, it would be helpful to explore this area and identify their communication (love) language. Not only is identifying their method of communication important, but learning how to express each other’s communication language is the key success. As we reach this point, hopefully we could engage in some role-playing to help execute what has been learned and to recognizing what to avoid that can be misinterpreted to what is actually being communicated.

Also, the counselor inflicts his worldview of marriage (heterosexuality) on to the Client, and he fails to recognize that the Client is proud of her sexual orientation. Further, the counselor insinuates that the Client must address relationship discord with companion to examine maladaptive behaviors which may contribute to symptoms of irritability and difficulty sleeping. In fact, the Client explicitly mentions the desire to reduce symptomology and develop healthier ways to communicate feelings and emotions as reasons for seeking counseling services. Of the American Multicultural Counseling Competencies, I believe this counselor should reassess the following: Self-awareness: the inability to learn cultural background regarding marginalized and privileged status; Client's worldview: factors that influence communication style; Counseling relationship: personal worldviews, beliefs, values, and biases positively or negatively impact therapeutic alliance; Counseling and advocacy interventions: fostering theoretical orientations to empower autonomy, as the previously mentioned create barriers to his ability to provided counseling services

One of the main focuses as a counselor is to establish rapport with the consumer. The ability to form a strong, trusting therapeutic relationship with each consumer is essential. The willingness of a person to be complete open during a session will depend if they believe they can trust you as their counselor. Confidentiality is crucial in the counseling profession. The consequences are crucial if a counselor breaches confidentiality. “The Oklahoma Department of Mental Health and Substance Abuse Services are required by state and federal law to maintain the privacy of clients protected health information that includes any identifiable information about your physical or behavioral health, the health care you receive, and the payment for your health care.” Furthermore, as a counselor it is important to not break confidentially unless there are legal obligations that require you to release

An ethical issue of informed and consent is being violated in this case. The clients, have the right to be informed about their treatment, assessment, or any other service they are going to receive, before they agree to participate or not for those services, not matter what their circumstances are at that moment. It is essential that the rights of the clients are respected, including clients being able to make decisions about their treatment. Clients are also entitle to identify and understand the counselor’s credentials and qualifications, frequency and duration of the treatment, the client’s responsibilities for participating, and medication issues.

Some issues which may arise regarding informed consent include the question of the client's ability to be forthright with the counselor. If the client is afraid that what he or she says might be interpreted as revealing he or she is a danger to him or herself (as