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The Limits of Confidentiality: Informed Consent and Psychotherapy
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Course Description: This course examines the ethical complexities surrounding informed consent and the limits of confidentiality in psychotherapy practice. Drawing on real-world case illustrations, it explores how psychiatrists and mental health professionals navigate competing duties when patient safety or third-party welfare is at stake. Practitioners will gain a working knowledge of dialectical principlism, a structured ethical decision-making framework that helps clinicians prioritize and balance conflicting obligations in high-stakes clinical situations.
Psychologists, social workers, mental health counselors, drug and alcohol counselors, marriage and family therapists, and other licensed or certified behavioral health professionals can benefit from this course. This course is appropriate for intermediate and advanced-level practitioners who require continuing education for license renewal.
Authors: Darby & Weinstock
Learning Objectives: This course will provide a professional with detailed information about the ethical dimensions of informed consent and confidentiality in psychotherapy. Specifically, the practitioner will:
- Identify the core components of informed consent in psychotherapy and articulate the legal and ethical basis for its application in clinical settings.
- Apply the framework of dialectical principlism to analyze competing ethical obligations, distinguishing between primary and secondary duties across different clinical roles.
- Evaluate clinical scenarios involving suicidal or homicidal patients to determine when withholding full disclosure of confidentiality limits may be the most ethical course of action.
Citation: Darby, W. C., & Weinstock, R. (2019). The limits of confidentiality: Informed consent and psychotherapy. Focus: The Journal of Lifelong Learning in Psychiatry, 17(2), 98–104. https://doi.org/10.1176/appi.focus.20180033
This course content is based on a publication that has been peer-reviewed, the scientific standard for evaluating academic work. All studies and scientifically derived evidence have limitations that should be considered. If you have any questions about the accuracy or limitations of the content, please contact us at
support@ce-classes.com and we will get back to you.
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This Ce-Classes.com course is approved for CE credit by:
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- The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
- Association of Social Work Boards (ASWB) Ce-Classes.com, Provider #1142, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ACE provider approval Period: 1/5/2029
Social workers participating in this course will receive 1 Clinical continuing education clock hours.- The National Board for Certified Counselors (NBCC) Ce-Classes.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6320. Programs that do not qualify for NBCC credit are clearly identified. Ce-Classes.com is solely responsible for all aspects of the programs.
- California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
- California Board of Registered Nursing. CEP 15647 Expires 11/30/2026.
- California Association of DUI Treatment Programs (CADTP) Provider Number 231
- California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-174-0627 Expires 6-2027
- Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2027
- Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2028 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
- Florida Certification Board
- Alcohol and Drug Abuse Certification Board of Georgia (ADACBGA) Alcohol and Drug Abuse Certification Board of Georgia (ADACBGA) Provider number# 16-04-05-626
- Illinois – CE-Classes.com is a registered social work CE sponsor by the State of Illinois. License 159.001607 Expires 11/30/2027
- Massachusetts Authorization Number: 3577%2Fthe-limits-of-confidentiality-informed-consent-and-psychotherapy
- New York Mental Health Practitioners Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0260.
- New York Psychology Board CE-Classes.com, Inc. is recognized by the New York State Education Departments State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0211
- New York Social Work Board – Ce-Classes.com is recognized by the New York State Education
Department’s State Board for Social Work as an approved provider of
continuing education for licensed social workers #SW-0120.
- Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Approval from a state licensing board for counselors, social workers, marriage and family therapists is accepted by the OH CSWMFTB.
- Oklahoma Board of Behavioral Health Licensure (LPCs, LMFTs and LBCs)
- South Carolina – CE-Classes.com is approved by the S.C. Board of Examiners for Licensure of Professional Counselors, Marriage & Family Therapist, Addiction Counselors, and Psycho-Educational Specialists (#4696).
- Texas Board of Marriage & Family Therapists CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
This course is Non Interactive .