Navigating Ethical Dilemmas in Couples Therapy

Course #9734L-


Self-Assessment Questions

    1 . In couples therapy, what is a common ethical challenge?
    A) The therapist has only one client.
    B) Ethical standards map perfectly onto couples work.
    C) Ethical guidelines always clearly define couples dynamics.
    D) Therapists must navigate working with multiple clients simultaneously.

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    2 . When working with diverse couples (e.g., LGBTQ+, nonmonogamous), the therapist should
    A) assume common challenges will always apply.
    B) rely solely on generalized research.
    C) approach them with humility and recognize client expertise.
    D) only focus on the most distressed partner.

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    3 . When should confidentiality policies and communication boundaries be discussed?
    A) After the first rupture in therapy
    B) During the intake process
    C) Only when a partner raises concerns
    D) After several sessions have established trust

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    4 . What is a primary benefit of a no-secrets policy in couples therapy?
    A) It creates a legal document for court purposes.
    B) It helps therapists take sides more effectively.
    C) It enhances relational trust and therapeutic safety.
    D) It prevents any emotional reactions during therapy.

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    5 . A potential ethical risk when billing insurance for couples therapy is
    A) making notes too detailed.
    B) forgetting to file session summaries.
    C) allowing both partners to share a diagnosis.
    D) diagnosing solely to meet insurance requirements.

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    6 . Who typically has legal access to therapy notes when insurance is billed using an Identified Patient (IP)?
    A) Both partners equally
    B) Only the therapist
    C) Only the Identified Patient
    D) Any adult involved in therapy

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    7 . What condition often makes couples therapy unethical to pursue immediately?
    A) Financial stress
    B) Lack of shared hobbies
    C) Poor communication skills
    D) Active abuse, affair, or untreated addiction

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    8 . Using an attachment framework, each partner's difficult behavior is often seen as
    A) an intentional attack.
    B) a result of a bad personality.
    C) proof that they are incompatible.
    D) an attempt to protect themselves and the relationship.

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    9 . What is an example of using gentler language in highly distressed couples therapy?
    A) Saying, "You're always criticizing each other"
    B) Labeling defense as "explaining yourself"
    C) Telling them they should divorce
    D) Ignoring escalations during sessions

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    10 . When a therapist notices an unhealthy communication pattern in session, they should
    A) directly and compassionately call it out.
    B) ignore it to avoid hurting feelings.
    C) accuse the "aggressor" partner.
    D) assign individual therapy immediately.

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    11 . Highlighting a couple's strengths in therapy can
    A) increase shame.
    B) build hope and resilience.
    C) reinforce negative cycles.
    D) cause emotional distancing.

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    12 . If a rupture occurs between the therapist and a partner, the therapist should
    A) ignore it and keep moving.
    B) blame the partner for being sensitive.
    C) model repair and own their mistakes.
    D) focus only on the other partner.

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    13 . Seeking consultation is recommended when
    A) the therapist feels personally annoyed with one partner.
    B) abuse, addiction, or significant power imbalances arise.
    C) sessions become less structured.
    D) a couple wants to skip a session.

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    14 . Between-session communication in couples therapy should ideally be
    A) avoided entirely.
    B) only through emergency phone calls.
    C) handled through individual emails.
    D) done in group texts or emails whenever possible.

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    15 . In the case of a serious secret revealed to the therapist, an ethical first step is to
    A) tell the other partner immediately without discussion.
    B) compassionately remind the client of the no-secrets policy.
    C) ignore the secret unless asked about it.
    D) decide what to do based on how much you like the client.

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