CBT Ethics & Professional Practice 2

Question 1

A CBT client discloses they are having romantic feelings toward their therapist. What is the most ethically appropriate immediate response?

Accepted Answer

Explore these feelings therapeutically within the session

Answer

Exploring transference feelings therapeutically is a valuable clinical opportunity that should be addressed within the professional relationship rather than avoided.

Question 2

Under which condition is a CBT therapist ethically permitted to break client confidentiality without consent?

Accepted Answer

When the client presents a credible threat of serious harm to an identifiable third party

Answer

The Tarasoff duty-to-warn principle requires therapists to break confidentiality when a client poses a credible, specific threat of harm to an identifiable third party.

Question 3

A CBT therapist realizes midway through treatment that a client's presenting problem is outside their area of competence. What should the therapist do?

Accepted Answer

Consult with a supervisor and arrange appropriate referral

Answer

Ethical practice requires recognizing the limits of competence, seeking supervision, and referring clients to qualified professionals when necessary.

Question 4

Which of the following best describes informed consent in CBT practice?

Accepted Answer

An ongoing process ensuring clients understand treatment goals, risks, and alternatives

Answer

Informed consent is an ongoing process throughout therapy, not a single event, ensuring clients can make autonomous decisions about their care.

Question 5

A therapist uses a validated CBT protocol with a client from a different cultural background. What additional ethical consideration is most critical?

Accepted Answer

Assessing whether the protocol is culturally appropriate and adapting as needed

Answer

Cultural competence requires therapists to assess the cultural fit of evidence-based protocols and adapt interventions to be relevant and respectful of the client's background.

(CBT) Certified Belief Therapist Practice Test

(CBT) Certified Belief Therapist Practice Test

CBT Ethics & Professional Practice 2