Counselor Education Comprehensive Exam (CECE) Practice Exam

Under what circumstances are professional counselors obliged to break client confidentiality?

1. Child and elder abuse/neglect

2. Domestic violence

3. Suicide/self-harm

4. Clients who are a threat to others

The correct answer is: Child and elder abuse/neglect

Professional counselors are required to break client confidentiality in specific circumstances to protect the well-being of individuals who may be in danger. One critical situation is when there is evidence or reasonable suspicion of child or elder abuse or neglect. This obligation stems from legal and ethical mandates intended to safeguard vulnerable populations, such as children and the elderly, who may not have the capacity to protect themselves. When counselors encounter situations that suggest abuse or neglect, they are compelled to report this information to the appropriate authorities, such as Child Protective Services or adult protective services. This reporting duty aims to initiate interventions that could prevent further harm to the individuals involved and ensure their safety. Failure to report such situations could lead to serious consequences for both the counselor and the individuals they are responsible for protecting. The requirement to disclose information about child and elder abuse or neglect reflects a broader ethical commitment within the counseling profession to prioritize client welfare and public safety, aligning with legal statutes that promote the protection of vulnerable populations.