Ethics & Legal Issues

Counselling Dilemma: A Seizure During a Counselling Session

A client has been seeing a therapist for three months when, during one of their sessions, the therapist appears to lose focus. The client feels a little angry that the therapist is not paying attention to them. After talking for a few more minutes, the client notices that the therapist is struggling to string sentences together and they become uncomfortable in the room. Finally the therapist manag... »

E-therapy: A Look at the Benefits

Most of us would not have pursued a career in mental health helping (broadly including here counselling, psychotherapy, psychology, social work, and psychiatry) if we were not aware of and keen to extend to those in need the many benefits that the face-to-face therapeutic encounter brings. Accustomed to this format, we can easily dismiss online technologies as a viable way of delivering profession... »

Consider this Before “Friending” a Client

The same questions counsellors use to make wise decisions about dual or multiple relationships in the real world may be employed when considering the ethical consequences of engaging in an online dual relationship with a client: »

Counselling Dilemma: An Aggressive Partner

Kaya and Mark have been in a relationship for a little over a year now and are attending couples counselling. Halfway through the session, the therapist asks for more information about the fights they are having. Kaya reports that Mark recently pushed her into a wall, and that he sometimes viciously pulls things like her phone, the TV remote amongst others out of her hand. Mark admits to this, and... »

Counselling Dilemma: An Issue of Sexuality and Boundaries

A counsellor has been working with a client over a period of 9 months assisting with inner child therapy work. During the period, the client also talks about her relationship issues, sexuality as well as a relationship with another person. The counsellor, who also happens to be in a same sex relationship and going through her own separation issues, advises the client she will help counsel her thro... »

From Evidence-Based Medicine to Marketing-Based Medicine

Dr Peter Parry is an Australian child & adolescent psychiatrist who has researched the “Paediatric Bipolar Disorder” diagnosis emanating from the USA, a diagnosis completely at odds with his training and clinical experience in Australian child and adolescent mental health. As part of his research into the PBD phenomenon, he noticed hundreds of internal pharmaceutical industry docum... »

Counselling Dilemma: An “Emotionally Draining” Client

You have been working with a male client who has been experiencing anxiety and depression issues. He said that he came to see you after his wife asked him, because she said he was “suffocating” her when anxiety is a major feature in his life. »

Transference and Projection

The phenomena of transference and projection, although solidly accepted in the analytical and psychodynamic schools of psychology in which they originated, are nevertheless complex and often misunderstood concepts. Yet some claim that projection is the single most important phenomenon in psychotherapy. »

Counselling Dilemma: Dual Relationship Boundaries

You have been working with a client for the last 3 months on rebuilding his life and re-integrating into society after having spent 6 years in prison for sex offences. For the last month, you have been working on issues of him frequently stealing money from his girlfriend’s wallet for drinks with his mates, him lying to her about his past and difficulties in holding down a job. Last weekend,... »

Counselling Dilemma: Confidentiality Issues with a Teenager

You work as a counsellor for an organisation that offers counselling services to the general public. The free service is aimed at community members who cannot afford counselling services otherwise. You start counselling a young man who made an appointment with the service when he saw the advertisement in the local community newspaper. »

Counselling Dilemma: A Teenager Experiencing Study Stress

Anna is a 17 year old student in Year 12 who has come to counselling because she is not coping with the stress of her final year. Anna is from a culture where academic success is highly important and she is under intense pressure from her parents to get good grades and go to university. She does not want to disappoint them but is constantly tired and anxious. »

Counselling Dilemma: Dealing with Therapeutic Boundaries

You work as a family counsellor for a community service organisation. As a counsellor you are required to see your clients at their own home to offer counselling support. You have been working for quite some time with Lucy, a single mother with 2 kids (boys). However, you have been unable to develop good rapport with this client. After you last visit to Lucy’s home you feel that she is start... »

Counselling Dilemma: An Issue with a Supervisee

You are a counsellor and approved supervisor working in your own private practice. One of your supervisees, Mary, who has been with you for over twelve months, has told you that her sister is going through a lengthy and difficult relationship breakdown. Mary has previously suggested to her sister that she seek counselling but her sister has rejected the idea outright. Recently, however, when they ... »

Counselling Dilemma: Issues with a Separated Couple

You are co-facilitating a mediation session for Patricia and Jonathan White (a separated couple in their early 40s, with two children). In your first session, Patricia expresses clear opinions regarding residency arrangements for the children. Patricia is also steadfast in her beliefs about the fair division of assets and cash. Jonathan is equally sure in his beliefs and expresses these loudly and... »

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