Ethics isn’t just a set of rules. It’s a commitment to protecting those most at risk.
Dear Colleague,
When working with survivors of domestic violence, our ethical responsibilities extend far beyond informed consent and HIPAA compliance. We are safeguarding lives. The risk of harm for survivors is very real, especially when they are considering or attempting to leave an abusive partner.
Our actions, or inaction, can carry life-altering consequences.
In one recent case, a survivor’s partner had installed spyware on her phone and was eavesdropping on therapy sessions. She had no idea this was happening until she mentioned therapy and was immediately confronted. Her therapist had thankfully checked in about device safety before discussing sensitive material.
This kind of foresight protected her from further harm. It also highlighted a crucial truth: ethical care starts with safety.
Providers must consider all dimensions of safety. Physical, emotional, digital, and environmental safety each deserve our attention. In telehealth sessions, we ask if clients are alone and feel safe to talk.
We might use code words or check-in questions to assess safety discreetly. We always document location and confirm whether it is safe to send messages or reminders.
Confidentiality must always be contextual. Survivors may have others accessing their emails, voicemails, or portals. We must ask who can see their communications and whether paperwork is safe to take home.
Offer to store important forms or handouts at your office if needed. Ask instead of assuming.
Safety planning is a clinical and ethical cornerstone. It is not only about encouraging someone to leave. It is about helping them stay safer wherever they are.
Survivors may not feel ready or able to leave. Our job is not to push but to support.
Want deeper guidance on these topics? The 1 Hour CE on Ethics & DV Survivors offers practical and sensitive insights. For therapists who want case consultation or ethical support, go to work with Catrina to learn more.
With appreciation for all you do,