Case Study: The Confidentiality Dilemma

Background: Samantha is a graduate student studying counseling psychology at a prestigious university. As part of her program requirements, Samantha is completing an internship at a community counseling center. She has been assigned to work with a diverse range of clients, including individuals, couples, and families, under the supervision of a licensed counselor.

The Case: One afternoon, Samantha meets with a client named Sarah, a 17-year-old high school student seeking counseling for depression and anxiety. Sarah discloses that she is struggling with thoughts of self-harm and suicide. Samantha feels deep concern for Sarah's well-being and recognizes the seriousness of the situation. She believes that Sarah's safety is at immediate risk and considers breaking confidentiality to ensure the necessary intervention.

However, Samantha is aware of the ethical guidelines and legal obligations surrounding confidentiality in counseling. The counseling center has a strict policy on maintaining client confidentiality, emphasizing the importance of trust and privacy in the therapeutic relationship. Samantha's supervisor has emphasized the significance of adhering to these guidelines.

Samantha finds herself in a difficult position. On one hand, she is genuinely worried about Sarah's safety and believes that disclosing the information to someone who can intervene might be the best course of action. On the other hand, she acknowledges that violating Sarah's trust could potentially damage their therapeutic alliance and discourage future clients from seeking help.

Ethical Dilemma:

ACA Codes of Ethics:

TCA Code of Ethics:

Resolution and Reflection: