Professional and Ethical Responsibilities
Ethical foundations
Know the principles-autonomy, beneficence, nonmaleficence, justice, fidelity, veracity-and your code (NAADAC). Scope of practice, competence, supervision, and continuing education are ethical duties. Informed consent covers treatment, confidentiality limits, fees, and technology use. Confidentiality has limits: imminent danger, child and elder abuse, court orders, and qualified service organization agreements. Mandatory reporting follows state law.
Boundaries
Avoid dual relationships that risk harm or exploitation. Sexual or romantic relationships with current clients are prohibited; with former clients, codes impose waiting periods and require careful analysis. Gifts of significant value, bartering, social media contact, and business relationships need consultation and documentation. Self-disclosure must serve the client.
Traps
Questions often describe a “helpful” exception to confidentiality without legal authority, or a counselor who relies on personal values instead of the code. Watch for impaired colleagues: the duty is to report through proper channels, not to cover up.
Worked example
A client offers an expensive watch “for saving my life.” You decline, explore the meaning, document the discussion, and consult your supervisor if the client persists.
Rule of thumb
When unsure, consult, document, and choose the least intrusive option that protects the client.