What should a therapist do if a client who has control of their mother's finances expresses harmful feelings towards their mother?

In situations where a client expresses harmful feelings towards another person, especially a vulnerable individual such as an elderly parent who relies on the client for financial management, the therapist must prioritize the safety and well-being of that individual. If there is reasonable suspicion that the client's feelings could lead to harm or exploitation of the mother, it is appropriate to breach confidentiality to contact an adult protective services agency. This agency is equipped to handle situations of potential elder abuse or financial exploitation.

The ethical responsibility of the therapist in this scenario hinges on the duty to protect those who cannot protect themselves. Mental health professionals are bound to maintain client confidentiality; however, there are exceptions, particularly when there is a risk of harm to others. By notifying the appropriate authorities, the therapist fulfills their obligation to protect vulnerable populations, demonstrating ethical practice rooted in both legal and ethical standards.

While other options might suggest maintaining confidentiality and addressing different therapeutic issues, they do not adequately address the immediate need to ensure the mother's safety when there is a potential threat. Therefore, engaging with adult protective services is a necessary and responsible action for the therapist in this context.