Marriage and Family Therapists (MFT) Law and Ethics Practice Exam

When is breaching confidentiality considered appropriate in therapy?

1. When it benefits the therapist's professional reputation

2. When a client requests it

3. When there is a threat to safety

4. When it can enhance the therapeutic relationship

The correct answer is: When there is a threat to safety

Breaching confidentiality in therapy is critically governed by ethical guidelines and legal standards, specifically to protect individuals' safety and well-being. The correct answer highlights that breaching confidentiality is appropriate when there is a threat to safety. This situation often includes instances where a therapist learns that a client poses a danger to themselves or others, such as in cases of suicidal ideation or a plan to harm another person. The obligation to protect individuals from harm takes precedence over the duty to maintain confidential communications. This principle is a foundational aspect of ethical practice, as it prioritizes the safety of the client and the community. In contrast, the other options may seem plausible but do not justify breaching confidentiality. A therapist's professional reputation, a client's request without a legitimate safety concern, or the intent to enhance the therapeutic relationship do not meet the ethical and legal thresholds necessary for breaching confidentiality. While these factors might influence therapy dynamics, they do not warrant compromising the confidentiality that is essential for building trust and fostering a safe therapeutic environment.