Case Studies

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Case Study #24

Ethical Issues in Online Counseling

Online counseling. Dr. Tramm decided to broaden her counseling practice by engaging in online counseling. She attended several workshops, developed an informed consent package, and asked each new counselee to inform her of any previous counseling experience (and how it helped or did not help). She also asked new clients if they ever had suicidal ideation or any suicidal attempts. Everything seemed to go smoothly for a time, until a client, George, who was going through a painful marital breakup, got online and told Dr.Tramm that he could no longer continue to live in this kind of pain and then signed off. Each time she emailed him, or called him on the phone number he had given her, she got no response.

Question 1: What potential ethical issues do you see in this case?

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Question 2: What would you do in this case?

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Question 3: Can you think of anything that Dr.Tramm might have done that could have helped her in this case?

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