Case Study 3: Ethical Dilemma in Dual Relationships
Scenario:
A therapist in a rural community is approached by a potential client who happens to be the best friend of a current client. The potential client shares that they’ve heard great things about the therapist and feel comfortable seeking therapy with them. However, the therapist is concerned that treating both clients could complicate confidentiality, particularly as the two friends may discuss their therapy sessions with each other. The therapist is unsure whether they should accept the new client, and if not, how to navigate turning them away professionally without alienating their existing client.
Discussion Points:
What ethical guidelines should the therapist consider in managing dual relationships, especially in smaller communities where options for mental health services are limited?
How might the therapist explain the potential conflict of interest to both the current and potential client without damaging either therapeutic relationship?
Would it be helpful for the therapist to seek consultation or supervision in deciding how to proceed?
How can the therapist refer the potential client to another therapist, while maintaining professionalism and the integrity of the current therapeutic relationship?
