CBT Ethics & Professional Practice 3

Question 1

A CBT therapist is approached by a client's spouse requesting to join a session to 'help.' The client has not mentioned this request. What is the first ethical step?

Accepted Answer

Discuss the request with the client and obtain their explicit consent

Answer

The client's autonomy and confidentiality must be respected; any third-party involvement requires the client's informed consent and should be discussed openly with them.

Question 2

Which scenario most clearly illustrates boundary crossing versus boundary violation in CBT practice?

Accepted Answer

Accepting a small gift from a client at termination versus having a sexual relationship with a client

Answer

A boundary crossing is a minor deviation that may or may not be harmful (like accepting a small gift), while a boundary violation is a serious ethical breach that causes harm (like sexual involvement).

Question 3

A CBT therapist discovers they are experiencing significant countertransference that is affecting their clinical judgment with a particular client. The most ethical action is to:

Accepted Answer

Seek personal therapy and/or clinical supervision to address the countertransference

Answer

Seeking supervision and/or personal therapy allows the therapist to process countertransference without compromising client care or burdening the client with the therapist's issues.

Question 4

When is it ethically acceptable to provide CBT services via telehealth?

Accepted Answer

When the therapist is licensed in the client's jurisdiction and telehealth is clinically appropriate

Answer

Telehealth is ethically permissible when licensure requirements are met for the client's location and the modality is appropriate for the client's clinical needs.

Question 5

A client in CBT discloses past child abuse perpetrated by their parent, who is not a current threat. What is the therapist's ethical and legal obligation?

Accepted Answer

Assess the situation; mandatory reporting applies when there is a current risk to a child, not solely historical abuse

Answer

Mandatory reporting is typically triggered by current or ongoing risk to a child; historical abuse involving no current risk to a child generally does not require a report, though laws vary by state.

(CBT) Certified Belief Therapist Practice Test

(CBT) Certified Belief Therapist Practice Test

CBT Ethics & Professional Practice 3