Treatment FAQ

what are the dangers for two clients who become romantically involved while in treatment?

by Maida Harris Published 2 years ago Updated 2 years ago

Can a counselor have a romantic relationship with a client?

Romantic/sexual relationships. The counseling relationship is one based on trust, so we must respect the power differential inherent in any counseling relationship regardless of the counselor’s theoretical orientation or perspective. Engaging in any type of sexual or intimate relationship with a current client is abuse of power.

Should people in recovery avoid romantic relationships?

* It is best if people completely avoid new romantic relationships for at least the first year of their recovery. * People in recovery can really struggle in romantic relationships. A huge part of the problem is that the self-absorption that goes hand in hand with addiction can continue to cause damage.

What happens when a client is open to a romantic relationship?

Even if it appears on the surface that a client is open to a sexual/romantic relationship, there are always things that happen, and the client could later turn around and say that he or she wasn’t able to make a decision that was in their best interest at the time and therefore felt coerced.

Can a previous therapist pursue a personal relationship with a client?

In California, there is a legal clause that states that a personal relationship between a previous therapist and client may be pursued two years after the termination of services.

What are the consequences of dual or multiple relationships with a client?

Like a dual relationship that is sexual, a nonprofessional dual relationship has the potential to blur the boundaries between a counselor and a client, create a conflict of interest, enhance the potential for exploitation and abuse of power, and/or cause the counselor and client to have different expectations of ...

What are the three concerns related to the therapist client relationship?

Edward Bordin, defined a good therapeutic relationship as consisting of three essential qualities: an emotional bond of trust, caring, and respect; agreement on the goals of therapy; and collaboration on the "work" or tasks of the treatment.

Why could it be unethical to enter into a multiple relationship with a client?

A psychologist refrains from entering into a multiple relationship if the multiple relationship could reasonably be expected to impair the psychologist's objectivity, competence or effectiveness in performing his or her functions as a psychologist, or otherwise risks exploitation or harm to the person with whom the ...

What is one example of a multiple relationship that you might encounter with a client?

Digital, online, or Internet dual relationship: The therapist is connected with the client on social media sites such as Facebook, Twitter, and LinkedIn. Sexual dual relationship: The therapist and client are engaged in a sexual and/or romantic relationship.

What are some difficulties in establishing a therapeutic relationship?

Many people harbor secret thoughts, feelings, and shame. Sharing these with a stranger, even a therapist, can be difficult....Some of the most common include:Reluctance to seek treatment. ... The client's mental health diagnosis. ... A history of bad therapy. ... Therapist anxiety and experience. ... Trauma.More items...•

What are the most common ethical violations in clinical psychology?

5 Major Ethical Violations In Therapycommunication of therapist's intrapsychic conflicts to the patient.contamination of the transference and consequent interpretations.the dissolution of the therapeutic “hold”the possibility of inappropriate gratification resulting from counter-transference problems.

Why is multiple relationship in counseling considered unethical?

A psychologist refrains from entering into a multiple relationship if the multiple relationship could reasonably be expected to impair the psychologist's objectivity, competence, or effectiveness in performing his or her functions as a psychologist, or otherwise risks exploitation or harm to the person with whom the ...

What are dual relationship boundary issues?

Boundary issues occur when social workers establish more than one relationship with clients or former clients, whether professional, social, or business. These typically involve dual (or multiple) relationships. Not all dual and multiple relationships are unethical.

Are dual relationships unethical?

Dual relationships that impair professional judgment, exploit, and harm clients are illegal, unethical, considered unprofessional conduct, and may be grounds for revocation of a licensure or registration3.

Why is it important to avoid dual relationships with a helper?

And when pushed to explain the rules, professionals generally explain that avoiding dual relationships is necessary because, otherwise, a therapist might misuse their power and influence and exploit clients for their own benefit. And in fact, this is what's stated in most professional organizations' code of ethics.

What are boundary limits to the Counselling relationship?

What are Boundaries in Counselling. Boundaries are the perimeters of the therapeutic relationship – the frame within which the work takes place. Clear boundaries promote trust in the practitioner and provide clarity about the purpose and nature of the relationship.

What is the difference between dual relationship and multiple relationship?

While all dual relationships involve boundary crossing, exploitive dual relationships are boundary violations. Multiple relationships are situations in which a therapist is engaged in “one or more additional relationships with a client in addition to the treatment relationship.

What is the worst thing you can do in recovery?

One of the worst things that an individual can do in early recovery is jump headfirst into romance. It is strongly advised that they remain focused on themselves until their sobriety is strong. Once they are settled in their new life, they can then begin to consider sharing it with somebody else.

How does addiction affect relationships?

Managing Existing Relationships in Recovery. When people are addicted to alcohol or drugs, it puts a strain on their relationships. Their partners will have been harmed by the substance abuse, and it can take a long time for these wounds to heal.

What happens when you become sober?

When people become sober it opens up a world of possibility. They can now begin to rebuild their life and get back many of the things they have lost. Romantic relationships can be a great source of happiness in sobriety, but they can also be the source of great pain. One of the worst things that an individual can do in early recovery is jump ...

What does it mean when someone doesn't love themselves?

It means that they can never fully trust the other person and will be prone to outburst of jealousy. If the individual does not really love themselves, it can be difficult for them to accept that somebody else loves them. * Dealing with relationships is probably the most stressful challenge in recovery.

How long after a plant and pet is done should you have a relationship?

If after two years the plant and the pet are doing well only then should people feel ready for a romantic relationship. * Meeting people in bars is no longer a good option for people recovering from an addiction. There are still plenty of other opportunities for meeting a significant other.

Can you have romantic relationships with someone in recovery?

Romantic Relationships with Other People in Recovery. Beginning a relationship with another person who is also recovery from an addiction can be particularly problematic. One of the main worries is that if one of the couple relapses it could encourage the other to do the same.

Can romance be used as a substitute for alcohol?

They may try to use romance as a replacement for alcohol or drugs. All they are really doing is substituting one addiction with another. Until the individual has managed to build a strong recovery, they will be vulnerable in a new relationship.

What is therapeutic relationship?

Certainly the therapeutic relationship is a unique situation wherein two human beings share space in a room while playing particular roles that ask them to maintain strict discipline of their human instincts, but to share the greatest level of openness and honesty imaginable.

What can a therapist do to help you?

Your therapist can help you develop the skills you need to go out and make friends and find someone to help you through the difficulties of life. But if your therapist tries to convince you that his or her role is to love and protect you, run away! That is NOT appropriate therapy!

What is the best way to deal with lustful feelings?

A well-trained and ethical therapist will seek professional consultation if romantic or lustful feelings arise and will follow wise counsel as to the most ethical way to proceed. Often these feelings can be worked through and resolved without any negative effect on the therapy.

What is therapeutic hour?

When deconstructed, the therapeutic hour shows itself to be a very bizarre social construct that is quite challenging to enact in a productive and healthy way. When properly delivered, the benefits of appropriate psychotherapy can be powerfully life-changing.

Where are the pros who need to be drawing the line over things like this?

Where are the pros who need to be drawing the line over things like this? They are the ones who should be expected to know better and not allow things to progress any further than a professional relationship.#N #Sometimes the patients in these situations are already confused about life. They do not need the added pressures of trying to navigate these kinds of feelings for their therapist.#N#Somebody has to be the adult and I firmly feel that that is the responsibility of the therapist or counselor.

Is GoodTherapy.org qualified to offer professional advice?

Thank you for your question. The GoodTherapy.org Team is not qualified to offer professional advice, but we would like to direct you to this page on 50 Warning Signs of Questionable Therapy and Counseling, which may be helpful to you.

Can a psychotherapist have strong feelings?

It is not uncommon for strong feelings to arise in a psychotherapy client. For many schools of thought, this is actually an important part of the therapeutic process. However, if the feelings become strong enough to breach the integrity of the therapy, they must be addressed.

Why do counselors try to engage in such relationships?

Clients come into counseling emotionally and psychologically vulnerable and in need of assistance, so a counselor trying to engage in such relationships would be trying to take advantage of that client and their vulnerabilities to meet their own needs.

What is the goal of counseling?

The main goal of counseling should be to focus on the best interests and welfare of the client.

What is the ACA code of ethics?

All ACA members are required to abide by the ACA Code of Ethics, and 22 state licensing boards use it as the basis for adjudicating complaints of ethical violations. As a service to members, Counseling Today is publishing a monthly column focused on new or updated aspects of the ACA Code of Ethics ...

Is family a nonblood relationship?

In a cultural context, “family” can be nonblood relationships such as godparents or neighbors. It is not culturally appropriate to make assumptions about a client’s worldview of who is and who is not a family member. The key to this scenario is intention.

Is counseling based on trust?

The counseling relationship is one based on trust, so we must respect the power differential inherent in any counseling relationship regardless of the counselor’s theoretical orientation or perspective. Engaging in any type of sexual or intimate relationship with a current client is abuse of power.

What is sexual involvement with former clients?

Sexual involvements with former clients: A delicate balance of core values. The Ethics Code seeks to avoid harm and protect autonomy, informed by solid clinical thinking and good research.

What are the factors that determine the length of time a person has to go through therapy?

The answer to this question will likely depend on several factors, such as the amount of time that has passed since therapy has terminated; the nature, intensity and duration of the treatment; and the individual's personal history, psychological dynamics and current mental status.

Why is it important to examine whether and how such knowledge interferes with effective treatment?

It will also be important to assess whether, in cases where post-termination involvements arise, something happens in the treatment to lay the foundation for the subsequent involvement.

Is sexual involvement with former clients ethically permissible?

The issue of sexual involvements with former clients therefore requires its own analysis to determine when, if ever, such involvements may be ethically permissible or, put a different way, whether and to what extent such involvements should be prohibited.

Is sexual involvement ethical?

Sexual involvements with former clients and patients, however, are more complicated from an ethical perspective. Time may attenuate the intensity and even the likelihood that an involvement will result in harm.

Is relaxing the prohibitive aspects of the standard appropriate?

In the alternative, the evidence may suggest that relaxing the prohibitive aspects of the standard is appropriate. In whichever direction the standard evolves, its evolution should rest upon solid clinical thinking and good research.

Is it ethical to create a heavy presumption against post-termination involvements?

If the majority of involvements occur when autonomy is most compromised and harm is most likely to occur, it may make good ethical sense to create a heavy presumption against post-termination involvements. Note three things about Ethical Standard 10.08.

What is dual client relationship?

According to the NASW Code of Ethics (1999), dual relationships occur “when social workers relate to clients in more than one relationship, whether professional, social, or business” (p. 9). Social workers must be knowledgeable and mindful of the NASW Code of Ethics ...

Where do you spend time with a client?

Worker may begin to spend frequent time with client at various restaurants, movie theaters, or other public places outside of the client’s home, or even at worker’s home, under the guise of a client visit. Worker freely shares and discusses his/her own personal experiences with the client.

What happened to the caseworker who called off sick?

In both instances, the workers were terminated from their jobs.

How do clients and workers communicate?

Worker and client communicate with each other via texting via cell on the worker’s personal and/or company cell phone. Worker tends to spend an inordinate amount of time with the client, both scheduled and unscheduled visits, in comparison to other clients.

What is the role of social workers in facilitating client growth?

When working with clients, a major skill that social workers must utilize in facilitating the client’s growth or change process is to earn their trust, confidence, and respect. This is an integral part of the client engagement strategy, which must be established in the early phase of the relationship. For those in child welfare, this poses ...

Why are social workers imprisoned?

In some instances, workers have been imprisoned for misconduct for violation of confidentiality, falsification in record-keeping, malfeasance, and so forth. However, this article will explore the issue of client relationships and ethical boundaries for those working in social work, with a particular focus for those in child welfare.

What age are social workers vulnerable?

Erickson’s developmental stage of young adulthood, when there is a concentration on intimacy and expansion of one’s interpersonal relationships, might suggest that social workers between 22 and 25 years of age are vulnerable to such violations occurring while finding their personal and/or professional selves.

Why do trauma bondings help?

Doing this trauma-bond work can help because it brings unhealthy dynamics to awareness.

What is the emotional bond between abandonment and love?

The bond involves betraying the self in order to receive love. The trauma bond can be an immovable thing.

Do adults self-advocate?

As adults, this type of person rarely self-advocates or speaks to what they need. Or maybe they learned as a child that to be seen they had to take their emotions to a 10 at all times. As a result, they may not know how to self-regulate what’s happening in their body as an adult.

Romance and Sobriety

The Importance of Avoiding Romantic Relationships in Early Recovery

Managing Existing Relationships in Recovery

Relationships and Co-Dependency

Romantic Relationships with Other People in Recovery

Thirteenth Stepping

Finding Romance in Recovery

  • People in sobriety can find romantic relationships to be their hardest challenge. They may have abused alcohol and drugs in the beginning because they lacked the confidence to meet new people. When they become sober, they can once again struggle with shyness. It can also be harder to meet people because they no longer go to bars. Sober people most ...
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