Respond Janelle Voice Question & Answer Guide (With Explanation)

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Original Question

Respond to Janelle and voice your perspective by sharing your agreement or disagreement with the disciplinary action/sanction given by the state counseling board. Then expand on Janelle’s postings by providing a supportive or alternate perspective on how the boundary violation could have been avoided. Respond in 150 words: Janelle post: Summary of Ethical Complaint In the case I investigated, Emily Cook was a licensed Clinical Marriage and Family Therapist in the state of Maryland. During her time in that role, an ethical complaint was filed by a colleague as she was accused of engaging in a dual relationship with a client. While she was providing therapy from 2018-2020, the Emily held sessions in informal settings like the client’s home, the therapists home, and while out running and exercising together. The counselor also shared personal information about herself with the client including details about her pending divorce as well as interacting with the client’s family by writing letters to the client’s children. Lastly, she exchanged personal and affectionate emails with the client which included phrases like “I love you”, “I love you always”, and “I love you so much”. After therapy ended, Emily began a social relationship with the client and the client’s spouse and family which included planning vacations and joint visits between the therapist’s family and the client’s. The relationship came to an end when the therapist learned that the clients spouse (the complainant) was uncomfortable. Evidence shared during the investigation was documented through the therapists own admission and testimonies as well as from the client and other outside parties. The therapist acknowledged the boundary violations and cooperated with the investigation. In a letter to the Board, Emily noted that she had developed a “friendship” with the client during their therapeutic relationship (Maryland.gov, 2020). As a result, her license was suspended for two years. After the suspension, she’s required to be on probation for two years with specific conditions including taking a Board approved ethics course, practicing under supervision of a Board approved Supervisor, submitting quarterly reports during the probationary period, attending mandatory meetings with her mental health provider no less than once per month, and paying a two thousand dollar fine to the Maryland Board of Professional Counselors and Therapist (Maryland.gov, 2020). Ethical Codes and State Laws In Emily’s case, multiple codes were violated within ACA’s Code of Ethics Section A.6 Managing and Maintaining Boundaries and Professional Relationships. For example, code A.6.b Extending Counseling Boundaries addresses the risks of extending counseling relationships beyond the conventional parameters which Emily did when conducting therapy sessions outside of the office and in her home and the client’s home (American Counseling Association, 2014). Additionally, counselors are required to document when boundaries are extended prior to the interaction as mentioned in code A.6.c Documenting Boundary Extensions (American Counseling Association, 2014). Although Emily eventually cooperated with the investigation, to be in compliance, she should have made official documentation of extending the boundaries prior to meeting outside of the office to explore the possible benefits and consequences regarding the well-being of the client. Additionally, the International Association of Marriage and Family Counselors Code of Ethics notes in Section A: The Counseling Relationship and Client Welfare mentions that counselors should avoid multiple (dual) relationships with clients and should withdraw from the therapeutic relationship if continuation would end in violation of ethical standards which was certainly the case when the client’s spouse got uncomfortable with the relationship (International Association of Marriage and Family Counselors Ethics Code, 2018). I accordance with this, Maryland State Regulation 10.58.03.05 states that counselors should avoid dual relationships with clients (Maryland.gov, n.d.). How I Would Have Avoided the Boundary Violation If I were in a similar situation as Emily, I would take proactive steps to make sure I maintained clear boundaries with my clients from the start. I would avoid socializing with clients outside of counseling sessions and outside of the conventional counseling setting to prevent any confusion or overlap between professional and personal relationships. Additionally, I would review the ethical codes regularly to assure I am in compliance with them so there is no gray area or room for confusion on my part. I would also seek out supervisory input or consult with my colleagues if a potential boundary concern arises that I was unsure about.

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