To strike a balance, the therapist should carefully weigh the repercussions of keeping the secret (Bass &Quimby, 2006). If the therapist thinks that revealing the secret will be for the greater benefit of everyone, then they should inform the individual who revealed the secret of their intention to reveal it.
It is the role of family therapists to ensure that they provide their clients with sufficient informed consent. The informed consent document must contain information such as the nature of the therapy process, the fees charged, the involvement of any third parties, the expected duration of the treatment process, and the circumstances and which confidentiality might not be assured (Corey, Corey &Callanan, 2010). In addition, if the therapist is using non-established procedures, the therapist should inform the client of the nature and progress of the treatment, the risks involved, and the availability of alternative treatments.
To ensure full understanding on the part of the client, the therapist should have face to face discussions with the clients and explain the contents of the document. Leaving the client to read the document and assuming that they understand the contents is ethically wrong. They should be certain that the client is fully acquainted with the processes involved in the treatment process in a direct conversation with the