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Mental health counselor ethical dilemmas
Mental health counselor ethical dilemmas
Mental health ethical issues
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Mental health therapists providing counseling services face a number of challenges when presented with couples and families requiring their assistance. One of the key tenants of this type of therapy is to always remain cognizant of the needs of the patient (Corey, Corey, Corey and Callanan, 2014, pp. 413). There are a myriad of personal, professional and ethical challenges clinicians will encounter. During case study development for psychology classes, it is imperative to provide the students with enough background knowledge about the hypothetical situation in order to make an informed decision about treatment and ethical dilemmas. In order to yield a desirable outcome, the scenario should be conveyed in a manner that is understandable …show more content…
Depending on the individual providing the counseling, they could potentially hold the belief that since Ronald is successful; the best course of action would be for her to stay at home with the baby. Additionally, if a therapist does not hold the belief that divorce is an option in his or her own personal marriage this could present a conflict of interest. Especially if either one of the clients believe that divorce is a better option than fighting in front of their child. These thought processes are a good example of the values and opinion of the therapist potentially interfering with the counseling process. Therapists have a duty to not influence the client by asserting their opinion on the situation, but aiding the client to work towards a solution of their own (Corey et al., 2014, pp 413). A therapist who imposes his or her own opinion on the client has the potential to cause irreparable damage on the client’s relationship or even their lives. If Ronald and Paula have accumulated a significant amount of debt during college, advising Paula to quit her job could cause another issue. Furthermore, this assumption is sexist in nature due to suggesting Paula quit her job in order to become a stay at home mother. Her own personal goals and desires may be to become branch manager at a particular bank do not have to change, Paula has options and choices. In order to prevent this scenario from occurring, the therapist must remain aware of their own thoughts and beliefs about polarizing topics (American Psychological Association, 2016). By assessing their own psyche before the start of treatment, this will enable the clinician to identify and resolve any shortcomings they hold about their
After watching this movie, I believe I would have had the greatest empathic difficulty with the mother (Beth) if I were the counselor to this family. Beth presents as distant and withdrawn from her remaining family members as well as from her emotional self. Instead of acknowledging the death of her son, Beth appears to act as if the event never occurred. While I recognize and understand this is her way of coping, it is hard for me to connect empathically because of the emotional distance she has created. Additionally, Beth’s way of coping appears to be neglectful in that she seems to ignore the grieving needs of her living son and husband. To me, this action makes me believe Beth is selfish and does not care for the needs of others.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical circumstance. For example, if you were practicing mental health professional and had a friend who’s a licensed psychologist, who is invited to attend the wedding of a patient that she has been seeing in court-ordered therapy for a year; what advice would you give your friend?
Moreover, ethical issues are ubiquitous within the field of social work. As such, social workers employed in all facets of the profession, whether it is substance abuse, mental health, among many others encounter ethical issues common and specific to each area. According to the article “Ethical Issues in Addiction Counseling” by Cynthia G. Scott (2000), prominent ethical situations specific to the field of substance abuse include, “confidentiality and privileged communication” (p. 213). In her article Scott (2000) discuss the blurred boundaries of confidentiality with regards to group counseling. The author points out the discrepancy in federal confidentiality laws that prevent the practitioner from sharing confidential information disclosed
Workers in the helping professions endure a massive amount of ethical and professional issues. These issues affect the practice of counseling and the relationship with the client. The book Issues and Ethics in the Helping Professions by Corey, Corey, and Hallanan gives many themes that one will encounter throughout their career. The book also gives possible solutions to problems and stimulates different ways to think about issues. The authors of this book provide good knowledge and information for anyone in the helping professions.
Ethical Issues in Social Work I will provide practical help for new social workers to help them understand and deal with ethical issues and dilemmas which they will face. There are many ethical issues which are important to social work, but I feel that these are all covered by the care value base. The care value base Was devised by the care sector consortium in 1992, this was so that the workers in health and social care had a common set of values and principles which they would all adhere to. It is important because for the first time the social care sector had a clear set of guidelines from which ethical judgements could be made. The care value base is divided into 5 elements - The care value base covers - Equality and Diversity - Rights and responsibilities - Confidentiality - Promoting anti Discrimination - Effective communication Equality and Diversity Carers must value diversity themselves before they can effectively care for the different races, religions and differently abled people they will come across in their caring profession.
This paper will examine the complicated roles a counselor has related to the use of prescribed medication in treating mental health issues. The first section will explore the boundaries and ethical implications for a counselor surrounding the recommendation and prescription of psychotropic medication. The next section will include the counselor’s role in client education about medication. The third section will relate to the details of client referral when medication is warranted.
A counselor should always keep their thoughts to themselves and remain open-minded about the situation. The only time a counselor should share their thoughts is if it helps the client with their situation that they are dealing with. “Counselors must practice only within the boundaries of their competence (Standard C.2.a.), and, if they “determine an inability to be of professional assistance to clients” (Standard A.11.b.), they should facilitate a referral to another provider. (Kocet, M. M., & Herlihy, B. J. (2014). Addressing Value-Based Conflicts Within the Counseling Relationship: A Decision-Making Model. Journal Of Counseling & Development, 92(2), 180-186 7p. doi: 10.1002/j.1556-6676.2014.00146.x).” Keeping your thoughts to yourself is
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
Burton, A. (1959). Case studies in counseling and psychotherapy (Prentice-Hall psychology series). Englewood Cliffs, N.J: Prentice-Hall.
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
The techniques used in marriage and family counseling can be different. For instance, counselors will sometimes handle family therapy in different ways than they would couples or marital therapy. Both family and marriage c...
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the psychologist vulnerable to being manipulated by the client. Or, what if the car broke down? This could leave the psychologist feeling cheated and resulted in hostile feelings toward the client. The psychologist has an ethical responsibility to examine both relationships for role incompatibility prior to forming a therapeutic relationship. The psychologist seemed to be aware that there was the potential role conflict resulting from their initial meeting, and he acted ethically by attempting to refer Mr. Hartwig to a Psychology Registry.