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,You practice in a rural area 2. Tell the client you don't have experience treating a
(next town is 150 km away) client with PTSD in transgender but if he gives you
and you get referred a consent then you will seek supervision. *Note If the
client that got assaulted, same scenario happened in a city, you would refer on
spent time in hospital, (because there are other psychologists available in
transgender, suffering the area).
from PTSD and other Note: If the question says there is no one else the
mental health issues. You client can see, then there is no one else to see him
have no experience with and this should inform answer.
this client group. You are Note: The most conservative answer is one where the
the only Psych in the town. client is protected and informed about the reasoning
How will you best support behind the appropriate course of action. Note: This
this client? answer tells the client 'I have not treated people with
1. Provide the client with this issue before but if you're okay with it I will seek
psychoeducation on PTSD supervision and help you considering other services
2. If he gives consent even are unavailable here'
if you have told him/her
that you do not have
experience in PTSD and
Transgender, start
treatment with the client
and seek supervision.
3. Research best treatment
modalities for PTSD and
read up on gender
identity issues
4. Ask client for consent
and seek supervision
5. Refer client to another
practitioner in the area
Can you use the bartering Yes
approach if there are no
other options
,You have peer 3. Financial exploitation (Any financial exploitation
supervision. One of your would be what the board will be looking at as an
friends tell you they answer to the questions)
created a relaxation app
and they are offering it to
their clients as an app on
their phone. The clients
have to pay for this app
and he gets some financial
gains from the app. What
is the most important
ethical obligation to
discuss with your friend.
1. Whether the clients give
informed consent?
2. Is the app useful and
can psychologists provide
services as advertised?
3. Is there risk of financial
exploitation in the
agreement
4. Is there evidence based
research that support this
app being useful.
5. Is he going to use the
money to purchase things
for himself?
, You see this lady for 4. Negotiate with client to continue therapy at a
treatment of MDD and she reduced rate.
is using a MHCP, you have Note: Clients receive 10 sessions on Medicare
used 5 sessions out of the (increased amount for eating disorders).
10 sessions. The client This female client has MDD, she will need ongoing
phones to cancel care and you are only halfway through treatment
appointments as her (5/10).
husband has lost his job Your ethical obligation is to reduce your rate. You
and she cannot afford the cannot drop your client because they can't pay your
sessions anymore and rate = unethical. Financial interests always come after
would have to stop the client.
therapy. What do you do?
1. Summarise all the gains
and terminate treatment
until client can pay the fee
again.
2. Refer to a psychologist
that that bulk bills.
3. Explore bartering with
the client.
4 Negotiate with client to
continue at a reduced
rate.
5. Refer back to GP for
other treatment.
1. Inappropriate relationships with clients, including
sexual misconduct or gross boundary violations (e.g.,
What are the three taking clients out to a nightclub, or for coffee)
reasons for filing 2. Working with clients while impaired (e.g., drugs and
mandatory reports with alcohol, or psychological problems)
AHPRA re other 3. Working outside of the realm of accepted
professionals psychological practices (this is a grey area because
this guideline applies to people working outside of
the evidence base).