Ethical Decision Making

Read vignette below:

You are a clinician in an outpatient mental health setting working with a 12-year-old client. During a session, the client shares that they have been intentionally restricting their food intake, skipping meals, and carefully monitoring what they eat in order to feel more in control. The client reports feeling proud of their self-discipline and denies feeling physically unwell.

The client asks you not to tell their parent, explaining that the parent would overreact and possibly force them to eat or stop therapy altogether. There is no immediate medical crisis, but you are concerned about the potential risks and the childs emotional relationship with food.

After the session, the parent asks how therapy is going and requests general updates about the childs progress.

Then

Write a 1-2 page reflective response integrating what you learned in the chapter with your thoughts on your chosen vignette. Reflect on your emotional reactions and potential countertransference and how these might influence your decisions. Be sure to discuss:

1. The ethical and/or legal issues involved (e.g., confidentiality, mandated reporting, child safety, caregiver rights, client self-determination)
2. How you would utilize the ethical decision making models discussed in the textbook to help you make a decision in this case – focus on your thought process and using the model as a guide.
3. Reflect on the following questions, answer at least 2:
  1. What emotions came up for you as you thought through this case?
  2. Are there personal values, experiences, or assumptions that might influence how you would respond?
  3. What steps would you take to support ethical practice (e.g., supervision, consultation, documentation, reviewing laws or policies)?
  4. What does this scenario highlight about the complexity of working ethically with children?
  Please cite textbook with pages. Textbook is Henderson, D. & Thompson, C.L. (2016). Counseling children. (9th ed.). Cengage.

Requirements: 1-2 Pages

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