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

When might confidentiality be breached without consent?

1. In routine therapy updates

2. For billing disputes

3. In cases of imminent harm or abuse

4. To inform parents about minor client issues

The correct answer is: In cases of imminent harm or abuse

Confidentiality is a cornerstone of therapeutic practice, ensuring that clients can share their thoughts and feelings without fear of disclosure. However, there are specific circumstances under which confidentiality may be legally and ethically breached without the client's consent. In cases of imminent harm or abuse, therapists are obligated to disclose information to protect the safety of their clients or others. This includes situations where a client expresses a intent to harm themselves or someone else, or when there are allegations or suspicions of child or elder abuse. The legal and ethical mandate to report such situations underscores the priority of safeguarding life and well-being over maintaining confidentiality. The other options presented do not meet the threshold for breaching confidentiality without consent. Routine therapy updates and billing disputes typically remain within the confines of the therapeutic relationship and do not warrant disclosure to outside parties. Informing parents about minor client issues may also require careful consideration of confidentiality, especially if the issues do not pose an immediate risk of harm or involve significant concerns. Thus, the obligation to breach confidentiality primarily rests in situations where there is an urgent need for protection or intervention.