A massage therapist is working with a long-term client who discloses during a session that they are experiencing suicidal ideation but insists they are 'just venting' and demands confidentiality. What is the most ethically and legally appropriate course of action?
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A
Honor the client's confidentiality request, as mental health disclosures fall outside the therapist's scope of practice
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B
Break confidentiality and contact emergency services or a mental health crisis line, as imminent harm to self overrides the duty of confidentiality
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C
Document the disclosure in the SOAP notes and refer the client to a psychologist at the next available appointment
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D
Consult with the client's primary care physician without the client's knowledge to coordinate a care response