Case+7,+Question+6



__Weigh Options and Consequences__: What are the possible courses of action and intended consequences? Also consider the unintended consequences.

Options: 1. Firmly stop client from "giving an update" in public encounters--say, the appropriate place for this discussion is in our session--and move away from client. Continue to address the issue again with the client during the next session. (Unintended consequence: may need to do this repeatedly; will need to examine own feelings of resentment toward client if they develop) Explore client's feelings in session.

2. Drop out of church council to avoid client. Carol must examine why she is unable to confront client and feels she must avoid the situation. (Unintended consequence: Carol will begin to feel restricted and will resent client)

3. Explain to client that if behavior continues, Carol will not be able to continue counseling as client's behavior is not consistent with what client agreed to in Carol's informed consent document. Carol needs to make sure her informed consent addresses the issue of dual relationships and how to deal with public encounters. (Unintended consequence: Client does not stop and Carol has to follow through in terminating treatment. Of course, could not do this if client was in severe distress or emergency.)

4. Refer client. What if there is no option. She needs to develop some options for referral.

5. Status quo. Unintended consequences: questions about professionalism.