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<p class="MsoNormal" align="center" style="text-align:center;line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical Use of Social Media in Mental Health Practice<b><o:p></o:p></b></span></p>
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<p class="MsoNormal" style="line-height:0%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:0%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="mcepastedcontent1"><strong><span style="font-size:12.0pt;line-height:125%;font-family:"Calibri",sans-serif">This article shows how confidentiality and boundaries in social media must be proactively maintained, as ethical awareness online extends core
ethical principles.</span></strong><span style="font-size:12.0pt;line-height:125%;font-family:"Calibri",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%;background:white"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Introduction<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%;background:white"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">In a world where connection happens at the speed of a swipe, social media has become both a bridge and a boundary for mental health professionals. In this
article we explore how to navigate that terrain with integrity, compassion, and clarity.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Online presence shapes professional identity, so we look into how you can distinguish between personal and professional roles in digital environments. We
explain how you can preserve confidentiality and trust in digital spaces. We offer a rationale for developing a social media policy consistent with professional codes of ethics. And we show you how to evaluate the influence of your digital footprint on therapeutic
relationships and public trust.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ultimately, it is about how you can cultivate digital mindfulness – the ability to engage online with the same care, empathy, and professionalism that define
your work offline. You may hear us say throughout this series: ethical social media use is not about silence; it’s about showing up thoughtfully, with heart, in the global conversation on mental health.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">The digital mirror: Why social media matters in mental health practice<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Social media has transformed from a casual pastime into a powerful arena for professional presence and public engagement. For mental health practitioners,
platforms like LinkedIn, Instagram, and even TikTok now function as spaces for education, advocacy, networking, and destigmatization. Research indicates that clients increasingly expect to find information about their clinicians online (Campbell et al., 2016).
This visibility can strengthen credibility, signal approachability, and extend the reach of mental health literacy initiatives. Yet, it also requires ethical discernment to balance openness with professional responsibility.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">The digital mirror metaphor captures the dual nature of this visibility. On one hand, it reflects professional identity and values outward to the world,
allowing practitioners to model compassion, authenticity, and evidence-based thinking. On the other, it reflects back – revealing personal details, opinions, and moments that may be interpreted through a professional lens. Even when accounts are set to “private,”
algorithms and cross-platform exposure make total invisibility unrealistic (Tunick, Mednick, & Conroy, 2011). The result is a blurred boundary between the personal self and the professional self that clients, colleagues, and the public all observe and evaluate.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">From an ethical standpoint, this raises questions about fidelity, beneficence, and integrity – principles that underpin the professional codes of conduct
across psychology, counselling, and social work (Australian Psychological Society [APS], 2023; National Association of Social Workers [NASW], 2021). A well-intentioned post celebrating personal growth could, if interpreted as advice or self-disclosure, inadvertently
affect a client’s perception of the therapeutic relationship. Likewise, engaging in heated online debates or commenting on politically charged issues risks undermining perceptions of neutrality and safety (Zur, 2025b). The challenge, then, is not withdrawal
from the digital space, but thoughtful participation guided by ethical awareness.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Social media also amplifies the public dimension of professional ethics. Mental health practitioners are uniquely positioned to correct misinformation,
promote mental health literacy, and advocate for systemic change. Studies show that responsible online engagement by clinicians can reduce stigma and increase help-seeking behaviors (Naslund et al., 2020). However, the same platforms that facilitate advocacy
also encourage impulsivity and emotional expression – traits that can collide with ethical restraint. Every “like,” comment, or post contributes to an ongoing digital footprint that clients and the public may interpret as part of professional identity (Kolmes,
2012; Kolmes & Taube, 2016).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ultimately, ethical engagement on social media is not about self-censorship – it’s about reflective self-presentation. Clinicians should ask:
<em><span style="font-family:"Calibri",sans-serif">Does this post align with my professional values? Could it be misconstrued as clinical advice or boundary crossing?</span></em> Ethical mindfulness, rather than avoidance, allows practitioners to harness social
media’s potential for good while safeguarding client trust and professional integrity. As the digital mirror reflects both intention and impact, the most ethical stance is one of visibility with vigilance – an approach that humanises mental health professionals
while maintaining the sacred boundaries of care.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Professional vs personal identity online<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">In an era where one’s social presence can feel as vital as one’s professional credentials, mental health practitioners face a subtle but persistent question:
<em><span style="font-family:"Calibri",sans-serif">Where does the therapist end and the private citizen begin?</span></em> Even with privacy settings and pseudonyms, the line between personal and professional identity online is rarely watertight. Research shows
that clients can – and often do – search for their therapists online, whether out of curiosity or anxiety (Zur et al, 2009; White & Hanley, 2023; Baier, 2019). What they find can influence trust, perceived competence, and even therapeutic outcomes.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The blurred boundary<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">A “private” photo shared with friends can easily be shared again, re-captioned, or appear in algorithmic suggestions far beyond its intended audience. This
visibility turns casual expression into professional communication, whether one intends it or not. As Kolmes and Taube (2016) note, digital footprints persist long after deletion, and clients’ interpretations of those footprints may differ dramatically from
the therapist’s intent. Thus, every online trace becomes a kind of professional disclosure.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical implications<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Two ethical principles –<em><span style="font-family:"Calibri",sans-serif"> fidelity and autonomy</span></em> – are especially relevant. Fidelity obliges
professionals to uphold trust and to act in ways consistent with the client’s welfare (APS, 2023). When a practitioner’s online persona appears inconsistent with therapeutic values – for instance, by sharing politically charged or judgmental posts – clients
may experience a rupture in that trust. Autonomy, meanwhile, demands respect for the client’s right to self-determination. When therapists share personal stories or opinions online, they must consider whether such disclosures could subtly shape a client’s
choices or expectations.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Even “positive” self-disclosures, like fitness milestones or personal resilience stories, can blur the clinician-client power dynamic. Studies indicate
that clients who view self-disclosing therapist content may develop unrealistic familiarity or expectations of reciprocal intimacy (White & Hanley, 2023; Baier, 2019). Online authenticity is valuable – but only insofar as it serves client welfare rather than
therapist expression.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Strategies for integrity<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">To that end, we propose several strategies to maintain high ethical standards for keeping your professional persona separate from your personal one:<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Separate spaces.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Maintain distinct professional and personal accounts
if possible, using the professional one solely for education, advocacy, and verified information.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">No client content – ever.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Even anonymized anecdotes or “composite” cases
risk re-identification and are discouraged by professional guidelines (NASW, 2021).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Regular self-audit.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Search your name periodically, review tagged content,
and update privacy settings. Seeing yourself through a client’s eyes can be revelatory.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Pause before posting. Ask:</span></strong><em><span style="font-family:"Calibri",sans-serif;color:black"> Would this align with my in-session values?
Could it be misconstrued as clinical advice?</span></em><span style="font-family:"Calibri",sans-serif;color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">These small acts of vigilance sustain professional congruence – the alignment between what one teaches, practices, and models. Digital transparency is not
inherently unethical; it becomes so when it erodes the safety and neutrality essential to therapeutic work. Maintaining professional identity online is less about constructing a polished façade and more about practicing mindful authenticity – being recognizably
human without compromising professional ethics.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Boundaries and dual relationships in social media contexts<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">If there’s one domain where the digital world loves to test a therapist’s resolve, it’s in the realm of boundaries. The same platforms that connect us globally
can, with one friendly click, blur the delicate lines between professional, personal, and even commercial relationships. On social media, dual relationships aren’t always intentional – but they are almost always traceable.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The subtle slide into dual roles<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">A client sends a friend request, follows a professional page, or “likes” a therapist’s photo. What begins as an innocent gesture of appreciation can shift
relational dynamics in ways both parties may not immediately grasp. As Zur (2025a) notes, even passive visibility – like a client scrolling through a therapist’s family vacation photos – can create a sense of unwarranted intimacy or familiarity. Once that
occurs, the therapist’s neutrality may be compromised, and the therapeutic frame can quietly erode.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical risks<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">We might ask, what do we risk as mental health professionals when seemingly innocent disclosures send us down the slippery slope toward dual roles and compromised
ethical integrity? The consequences seem large for the “small sin” of, say, a therapist’s “like” of a third-party post or the post of a therapist’s single picture:<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Loss of therapeutic neutrality.
</span></strong><span style="font-family:"Calibri",sans-serif;color:black">Even the perception of personal closeness can influence transference and countertransference.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Breach of confidentiality.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> If clients comment publicly on professional
pages, their identity as therapy recipients becomes exposed.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Role confusion.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> The social media environment can create expectations
of availability beyond clinical boundaries – clients may message for advice or reassurance between sessions (Henretty & Levitt, 2010).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical frameworks universally stress that the responsibility for maintaining boundaries lies with the professional, not the client (APS, 2023; NASW, 2021).
Digital platforms merely multiply the opportunities to test that responsibility.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Professional responses<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">The most effective safeguard is clarity
<em><span style="font-family:"Calibri",sans-serif">before </span></em>crisis. <strong>
<span style="font-family:"Calibri",sans-serif">Social media policies</span></strong> should be introduced at intake, explaining that therapists do not accept friend or follow requests, nor communicate via direct messages for therapeutic purposes. When such
requests occur, <strong><span style="font-family:"Calibri",sans-serif">a polite but firm declination</span></strong> paired with a brief rationale (e.g., confidentiality protection) preserves rapport while upholding standards.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Professional or organizational pages can still serve as
<strong><span style="font-family:"Calibri",sans-serif">educational spaces</span></strong>, sharing mental health resources without individual interaction. For practitioners in small or culturally tight-knit communities,
<strong><span style="font-family:"Calibri",sans-serif">absolute separation may be impractical</span></strong>; in those cases, transparency and supervision become essential tools for ethical navigation (Reamer, 2018; 2021).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Cultural sensitivity<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">In rural or minority settings, community overlap is often unavoidable. Ethical practice in these contexts means adopting a stance of informed boundary negotiation
– acknowledging connections, discussing implications openly, and documenting boundary decisions. Ethical flexibility, grounded in reflection and consultation, replaces rigid rules with relational responsibility.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Key principle<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Boundaries are not barriers; they are containers of trust. In digital spaces where immediacy is prized, restraint can feel countercultural – but it remains
the cornerstone of professional integrity. Saying “no” online is sometimes the most therapeutic act of all.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Ethical communication and public engagement<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Social media gives mental health professionals an unprecedented platform for public education, advocacy, and destigmatization. Clinicians can amplify accurate
information and counter mental health myths with immediacy and reach that previous generations could only dream of. Yet paradoxically, the same communication tools that can advance public good can also expose professionals to ethical risk if used without care.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The therapist as public educator<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">When practitioners share insights about anxiety, relationships, or trauma-informed care online, they are engaging in what Reamer (2017) calls digital social
work – a fusion of public education and professional ethics. This engagement can promote beneficence and justice, helping underserved populations access reliable mental health knowledge. However, the online audience is not a classroom; it is a fluid, global
crowd where context collapses. A post intended as psychoeducation can be interpreted as personal advice, a diagnostic statement, or even therapeutic direction.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">To safeguard against misunderstanding, clinicians should distinguish clearly between general information and professional services. Including brief disclaimers
(“This content is for general educational purposes only”) helps manage expectations and protects client autonomy (Kolmes, 2012). Transparency is not only ethical – it is protective.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Managing risks and misinformation<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical challenges multiply in the comment sections. Followers may share sensitive personal stories, seek direct guidance, or challenge professional opinions.
Responding publicly may appear compassionate, but it can inadvertently confirm clinical relationships or offer unsupervised advice. Best practice is to redirect such exchanges to appropriate channels: a private message clarifying boundaries, or a standard
response directing individuals to crisis or referral services (Tunick et al., 2011).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">The professional also bears a duty to combat misinformation responsibly. As Patel et al. (2020) note, false or sensationalized mental health content circulates
widely online, and silence can perpetuate harm. Ethical engagement means correcting inaccuracies without shaming, diagnosing, or engaging in online conflict. Tone matters as much as content; professionalism must extend to digital discourse.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Balancing advocacy and neutrality<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Advocacy is central to mental health ethics – but it can blur into partisanship if not grounded in shared professional principles. Posting about social
justice, diversity, or policy issues aligns with professional codes that emphasize fairness and inclusion (APS, 2023). However, emotional or polarizing language risks alienating clients with differing beliefs. Ethical communication requires self-awareness:
<em><span style="font-family:"Calibri",sans-serif">Is this post promoting well-being and understanding, or simply expressing frustration?</span></em><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical communication in practice<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Four guidelines clarify how mental health professionals can communicate online with high ethical standards. You can:<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="color:black;line-height:125%;mso-list:l1 level1 lfo1">
<strong><span style="font-family:"Calibri",sans-serif">Verify </span></strong><span style="font-family:"Calibri",sans-serif">the accuracy and source of all shared content.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l1 level1 lfo1">
<strong><span style="font-family:"Calibri",sans-serif">Disclose </span></strong><span style="font-family:"Calibri",sans-serif">your credentials and scope of practice clearly.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l1 level1 lfo1">
<strong><span style="font-family:"Calibri",sans-serif">Avoid </span></strong><span style="font-family:"Calibri",sans-serif">commenting on trending clinical cases or celebrities’ mental health.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l1 level1 lfo1">
<strong><span style="font-family:"Calibri",sans-serif">Engage </span></strong><span style="font-family:"Calibri",sans-serif">in public dialogue respectfully, avoiding diagnostic language outside the therapy context.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Each post becomes a microcosm of professional ethics – visible, permanent, and influential. The idea is not to be silent, but to use your voice with purpose.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Marketing, self-promotion and transparency<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">In the digital age, mental health professionals are no longer just clinicians – they are also brands. Websites, blogs, and social media profiles function
as virtual storefronts, and the line between sharing expertise and selling oneself has never been thinner. Ethical marketing in this landscape isn’t about modesty; it’s about honesty, clarity, and respect for client autonomy.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The ethics of visibility<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Marketing is not inherently unethical. In fact, transparency about one’s services, credentials, and specializations can empower clients to make informed
choices, aligning with the ethical principle of autonomy (APS, 2023). Problems arise when marketing tactics exaggerate, manipulate, or blur the distinction between information and persuasion. The “attention economy” rewards emotional storytelling and grand
claims – but mental health professionals must resist the temptation to equate visibility with value.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">As Reamer (2021, 2018b) observes, digital self-promotion carries the risk of commodifying care. When therapy is framed as a purchasable product rather than
a collaborative process, the client’s vulnerability can become a marketing tool. Ethical marketing therefore demands both authenticity and restraint: practitioners must describe what they do accurately, avoiding any implication of guaranteed outcomes or “quick
fixes.”<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Advertising standards and professional codes<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Most professional associations, including the APS and the American Counseling Association, provide explicit guidance on advertising and testimonials. These
codes prohibit:<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="color:black;line-height:125%;mso-list:l2 level1 lfo2">
<strong><span style="font-family:"Calibri",sans-serif">False or misleading claims</span></strong><span style="font-family:"Calibri",sans-serif"> about success rates or client outcomes.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l2 level1 lfo2">
<strong><span style="font-family:"Calibri",sans-serif">Testimonials or endorsements
</span></strong><span style="font-family:"Calibri",sans-serif">that could reveal a therapeutic relationship.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l2 level1 lfo2">
<strong><span style="font-family:"Calibri",sans-serif">Use of confidential client information</span></strong><span style="font-family:"Calibri",sans-serif">, even if anonymized, for promotional purposes.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Even subtle breaches – such as clients voluntarily posting glowing reviews – can compromise confidentiality and create pressure for reciprocity. The ethical
response is not to solicit such endorsements but to educate clients about why professionals cannot “like,” “share,” or respond publicly to such posts (Practice Edge. 2024).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Social proof and the digital halo<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Metrics like likes, shares, and follower counts can easily morph into a proxy for competence. Yet research shows that clients may equate social popularity
with clinical effectiveness (Care Learning, 2025; Mikal et al., 2016). This “digital halo effect” can distort perceptions and create unrealistic expectations before therapy even begins. Ethical transparency involves helping potential clients understand that
online presence signals accessibility, not superiority. Practitioners can still market ethically by focusing on values and process rather than promises.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The integrity of self-representation<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical marketing is ultimately an extension of professional integrity. It invites practitioners to replace persuasion with clarity, and image-building
with education. Transparency doesn’t weaken credibility; it strengthens it by aligning public messaging with professional truth. In a world where algorithms reward exaggeration, maintaining honesty becomes a radical ethical act.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Creating a personal or organizational social media policy<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Social media may be dynamic and ever-changing, but ethics are timeless. The most effective way to navigate this shifting landscape is to translate ethical
principles into a living document – a personal or organizational social media policy. Rather than a bureaucratic chore, this policy serves as a map for digital professionalism: one that helps clinicians avoid ethical pitfalls and maintain alignment with their
values, even when the online world moves fast.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Why a policy matters<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Without clear boundaries, digital engagement can quickly become reactive. A comment here, a shared post there – and suddenly a therapist’s feed becomes
a confusing mix of professional insights, personal reflections, and inadvertent disclosures. A well-designed policy acts as a compass rather than a cage. It protects confidentiality, supports consistency, and communicates professionalism to clients, colleagues,
and the public (Kolmes, 2012; Reamer, 2021, 2018b).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Moreover, written policies demonstrate due diligence. If an ethical complaint ever arises, being able to show that a clinician or organization had a proactive
policy in place can significantly mitigate risk (APS, 2023).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Core components of an ethical social media policy<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Purpose and scope</span></strong><span style="font-family:"Calibri",sans-serif;color:black">. Clarify what the policy covers – for example, all
professional online activity including websites, social media, blogs, and networking platforms. Define who it applies to (individual practitioners, team members, interns, etc.).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Professional boundaries.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Clearly state that therapists will not accept
client friend or follow requests, nor communicate about therapy through social media. Specify that all therapeutic contact occurs through approved, secure channels only.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Content guidelines.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Outline the types of material suitable for posting.
Educational resources, advocacy campaigns, or evidence-based insights are encouraged; client cases, even anonymized, are off-limits. Include rules about not commenting on clinical news stories or public figures’ mental health.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Privacy and data handling.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Describe how comments, messages, or tagged
content will be managed. For example: “Messages received via social media will not be read or responded to; clients should contact the clinic/me directly via phone or email.”<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><strong><span style="font-family:"Calibri",sans-serif;color:black">Review and revision.</span></strong><span style="font-family:"Calibri",sans-serif;color:black"> Digital ethics evolve quickly. Commit to reviewing
the policy annually or when major platform or legal changes occur. This prevents the policy from gathering dust and ensures it reflects both current technology and best practice.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">A quick-start template (for the weary but willing clinician)<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">If you want a one-line anchor to start your policy, try this:<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">“I use social media to promote mental health awareness and share professional resources, not to provide therapy or personal advice. I protect client confidentiality
by maintaining clear boundaries and avoiding personal interactions online.”<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Even a short statement like this, visible on a website or professional page, sets a tone of transparency and trust.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">From information to ethical presence<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Social media moves fast; ethical reflection moves slow. Professionals who thrive online are not necessarily the most active, but the most intentional. Reflection
transforms impulsive clicks into ethical choices. As Reamer (2021) notes, online professionalism depends less on policies alone and more on cultivating a mindset of digital mindfulness – remaining conscious of how each post, comment, or “like” might ripple
outward.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">This is the art of ethical congruence: ensuring that the professional self-portrayed online aligns with the therapeutic self that clients meet in session.
When congruence is present, the digital persona becomes an extension of therapeutic integrity rather than a distortion of it (Kolmes, 2012).<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">We advise regular reflection on where the line is drawn between professional advocacy and personal self-expression, what emotional tone is used, and whose
voices are being amplified if communication is to be ethical. Such reflection nurtures awareness, as you engage a living conversation between values and evolving technologies.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">The reflective loop<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Clinicians can integrate reflection into their professional rhythm through brief, consistent habits, such as monthly check-ins, peer supervision, and boundary
journaling about situations that feel ethically “sticky”. In the digital realm, every click is an opportunity for micro-reflection – a small, deliberate moment of professional mindfulness.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><span style="font-family:"Calibri",sans-serif;color:black">Integration<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">When clinicians integrate ethical reflection into their online presence, they embody digital integrity rather than perform it. Ethical social media use
is not about fear of mistakes; it’s about commitment to responsible visibility – showing up authentically, thoughtfully, and compassionately in a space that often rewards the opposite.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">The ultimate goal is balance: to engage with courage, communicate with care, and let one’s digital footprint mirror the same professionalism that guides
every therapeutic moment.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Conclusion<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">Ethical social-media practice is not about retreating from the digital world; it is about entering it with eyes open and purpose clear. Each post, each
click, each moment of online visibility becomes part of a professional narrative – one that speaks as loudly as any therapy room ever could. We have seen that ethics online are simply ethics, amplified. Social media offers opportunity: connection, education,
advocacy. But it also demands restraint: discernment, transparency, humility.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black">The clinician who practices digital mindfulness – who pauses, reflects, and chooses words with care – models to clients what healthy engagement can look
like in a noisy age. Ultimately, ethical social-media use is an act of professional compassion. It protects clients from harm, honours the dignity of the profession, and preserves the credibility of every voice that speaks for mental health.<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">Key takeaways<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="color:black;line-height:125%;mso-list:l0 level1 lfo3">
<span style="font-family:"Calibri",sans-serif">Ethical awareness online extends core clinical principles into public space.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l0 level1 lfo3">
<span style="font-family:"Calibri",sans-serif">Confidentiality and boundaries in social media must be proactively maintained, not assumed.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l0 level1 lfo3">
<span style="font-family:"Calibri",sans-serif">Transparency in social media builds credibility; exaggeration erodes it.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l0 level1 lfo3">
<span style="font-family:"Calibri",sans-serif">Reflection transforms online activity in social media, blogging, and networking sites into ethical action.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l0 level1 lfo3">
<span style="font-family:"Calibri",sans-serif">Every post reflects both the individual and the profession as a whole.<o:p></o:p></span></li></ul>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="line-height:150%"><b><span style="font-family:"Calibri",sans-serif;color:black">References<o:p></o:p></span></b></p>
<p class="MsoNormal" style="line-height:125%"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">American Psychological Association. (2023). Guidelines for the practice of telepsychology.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.apa.org%2Fpractice%2Fguidelines%2Ftelepsychology&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279257737%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=yQE%2BG6j09Xd%2BusE2NWB2vY98QxBasfM%2BWgWi%2FGPCZsE%3D&reserved=0" originalsrc="https://www.apa.org/practice/guidelines/telepsychology">
https://www.apa.org/practice/guidelines/telepsychology</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Baier, A. L. (2019). The ethical implications of social media: Issues and recommendations for clinical practice. Ethics & Behavior, 29(5), 341–351.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1080%2F10508422.2018.1516148&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279284575%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=6U3InkQtge8XlgdhJuZfhoiGJUUojbPkWaJ0n7gicCA%3D&reserved=0" originalsrc="https://doi.org/10.1080/10508422.2018.1516148">
https://doi.org/10.1080/10508422.2018.1516148</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Campbell, L., Evans, Y., Pumper, M., & Moreno, M. A. (2016). Social media use by physicians: A qualitative study of the new frontier of medicine. BMC Medical Informatics and Decision Making, 16(1), 91.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1186%2Fs12911-016-0327-y&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279309476%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=hI2vMZK6bppFSXtUGILs5xsRpK3Ewd80ikNLoSGXgmk%3D&reserved=0" originalsrc="https://doi.org/10.1186/s12911-016-0327-y">
https://doi.org/10.1186/s12911-016-0327-y</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Care Learning. (2025). What is the halo effect in health and social care? Carelearning.org. Retrieved on 10 November 2025 from:
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fcarelearning.org.uk%2Fblog%2Funconscious-bias%2Fwhat-is-the-halo-effect-in-health-and-social-care%2F&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279325598%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=SdCk5NHeI3QWyxo7qP9LJUMIhM%2BV%2FiVbC6HwmbsI27A%3D&reserved=0" originalsrc="https://carelearning.org.uk/blog/unconscious-bias/what-is-the-halo-effect-in-health-and-social-care/">
https://carelearning.org.uk/blog/unconscious-bias/what-is-the-halo-effect-in-health-and-social-care/</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Henretty, J. R., & Levitt, H. M. (2010). The role of therapist self-disclosure in psychotherapy: a qualitative review. Clinical psychology review, 30(1), 63–77.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1016%2Fj.cpr.2009.09.004&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279345346%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=8SDVLWnACiHLRHkK3mBBxQAzb1caqdNdxT0ZRWVTmKE%3D&reserved=0" originalsrc="https://doi.org/10.1016/j.cpr.2009.09.004">
https://doi.org/10.1016/j.cpr.2009.09.004</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Kolmes, K. (2012). Social media in the future of professional psychology. Professional Psychology: Research and Practice, 43(6), 606–612.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1037%2Fa0028678&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279358401%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=cMczuo5XbXMjTR9zZcz6YfFqi9vLoXGyV1QGTslujME%3D&reserved=0" originalsrc="https://doi.org/10.1037/a0028678">
https://doi.org/10.1037/a0028678</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Kolmes, K., & Taube, D. O. (2016). Client discovery of psychotherapist personal information online. Professional Psychology: Research and Practice, 47(2), 147–154.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1037%2Fpro0000065&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279371109%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=iEgXKtiAZOcv0%2F6bREiRjj%2FcleLVddqnnn0B9pYe0Ek%3D&reserved=0" originalsrc="https://doi.org/10.1037/pro0000065">
https://doi.org/10.1037/pro0000065</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Mikal, Jude; Hurst, Samantha & Conway, Mike (2016). Ethical issues in using Twitter for population-level depression monitoring: a qualitative study. BMC Medical Ethics 17 (1):1.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Naslund, J. A., Bondre, A., Torous, J., & Aschbrenner, K. A. (2020). Social media and mental health: Benefits, risks, and opportunities for research and practice. Journal of Technology in Behavioral Science, 5,
245–257. <a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1007%2Fs41347-020-00134-x&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279383497%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=DeVYrhRLd8%2Bcub2HUmRsCPg0Haf2CselI3OV8WdFN%2BA%3D&reserved=0" originalsrc="https://doi.org/10.1007/s41347-020-00134-x">
https://doi.org/10.1007/s41347-020-00134-x</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">National Association of Social Workers. (2021). Code of ethics of the National Association of Social Workers. NASW Press. Retrieved on 6 November 2025 from:
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.socialworkers.org%2Fabout%2Fethics%2Fcode-of-ethics&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279395937%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=mnBFkD%2BIiNmPFDJ%2FLZU3TxKb3vY1exrDoXQ6NRzlMt4%3D&reserved=0" originalsrc="https://www.socialworkers.org/about/ethics/code-of-ethics">
https://www.socialworkers.org/about/ethics/code-of-ethics</a> <o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Patel, S., Moncayo, O., Conroy, K., Jordan, D., & Erickson, T. (2020). The landscape of disinformation on health crisis communication during the COVID-19 pandemic in Ukraine: hybrid warfare tactics, fake media
news and review of evidence, Journal of Science Communication, Volume 19 (5), Sep 30, 2020.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjcom.sissa.it%2Farticle%2Fpubid%2FJCOM_1905_2020_A02%2F&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279408842%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=%2Bnpugp8ptUcrXuYK3t6%2BLVwQQTfUPU%2BlysT0eMR7QoI%3D&reserved=0" originalsrc="https://jcom.sissa.it/article/pubid/JCOM_1905_2020_A02/">
https://jcom.sissa.it/article/pubid/JCOM_1905_2020_A02/</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Practice Edge. (2024). Digital marketing for mental health professionals: Navigating ethical considerations. Practiceedge.com.au. Retrieved on 8 November 2025 from:
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.practiceedge.com.au%2Fdigital-marketing-for-mental-health-professionals-navigating-ethical-considerations%2F&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279420911%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=KcsHgRI%2BGHKzXvWEaPrZxCa8x6Iyn5VsKspmKCPx%2BVk%3D&reserved=0" originalsrc="https://www.practiceedge.com.au/digital-marketing-for-mental-health-professionals-navigating-ethical-considerations/">
https://www.practiceedge.com.au/digital-marketing-for-mental-health-professionals-navigating-ethical-considerations/</a> <o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Reamer, F. G. (2021). Ethics & risk management in online & distance social work. San Diego, California: Cognella Academic Publishing.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Ftitles.cognella.com%2Fethics-and-risk-management-in-online-and-distance-social-work-9781793517746&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279433130%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=dM08MEre%2BeVSD2xPaVQOWVi5MGAk3Z6TD1esOWT35%2Bg%3D&reserved=0" originalsrc="https://titles.cognella.com/ethics-and-risk-management-in-online-and-distance-social-work-9781793517746">
https://titles.cognella.com/ethics-and-risk-management-in-online-and-distance-social-work-9781793517746</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Reamer, F. G. (2018). Ethical standards in social work: A review of the NASW code of ethics (3rd ed.). NASW Press. ISBN: 0871015315, 9780871015310.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Reamer, F. G. (2018b). Ethical standards for social workers’ use of technology: Emerging consensus. Journal of Social Work Values and Ethics, 15(2), 71–80.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Reamer, F.G. (2017). Evolving ethical standards in the digital age, Australian Social Work, Volume 70 (2), 2017, pp 149-159.<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Tunick, R., Mednick, L., & Conroy, J. (2011). Online professionalism and the psychology graduate student: Ethical and professional implications. Professional Psychology: Research and Practice, 42(6), 440-447.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1037%2Fa0025155&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279444846%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=5amaFUJQxof49dv88FgVvliGsyhVg1UID4Y0sSGM2Wg%3D&reserved=0" originalsrc="https://doi.org/10.1037/a0025155">
https://doi.org/10.1037/a0025155</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">White, E., & Hanley, T. (2023). Therapist + Social Media = Mental health influencer: Considering the research focusing upon key ethical issues around the use of social media by therapists. Counselling and Psychotherapy
Research, 23, 1-5. <a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1002%2Fcapr.12577&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279456658%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=AW7WGo1tU5ZUMH4EwzL%2B%2FeuU3OH0olTvYodLEGKuNUc%3D&reserved=0" originalsrc="https://doi.org/10.1002/capr.12577">
https://doi.org/10.1002/capr.12577</a><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Zur, O. (2025a). Boundaries in psychotherapy and counseling: Ethical and clinical considerations. Zur Institute. Retrieved on 3 November 2025 from:
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.zurinstitute.com%2Fcourses%2Fboundaries-psychotherapy-counseling-ethical-clinical-considerations%2Foverview%2F&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279468260%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=qI0nQZz05ogfgpilgTa1sxKLedaWku%2FSnjFsU%2F562EU%3D&reserved=0" originalsrc="https://www.zurinstitute.com/courses/boundaries-psychotherapy-counseling-ethical-clinical-considerations/overview/">
https://www.zurinstitute.com/courses/boundaries-psychotherapy-counseling-ethical-clinical-considerations/overview/</a>
<o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Zur, O. (2025b). To dual or not to dual: Dual relationships in psychotherapy. Zur Institute. Retrieved on 6 November 2025 from:
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdrzur.com%2Fboundaries-dual-relationships%2F&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279491714%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=sCrjgzgjyfcoqQLAjN%2FpaAwwdlyToojoumRe7xLFfH4%3D&reserved=0" originalsrc="https://drzur.com/boundaries-dual-relationships/">
https://drzur.com/boundaries-dual-relationships/</a> <o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:125%;mso-list:l3 level1 lfo4">
<span style="font-family:"Calibri",sans-serif">Zur, O., Williams, M. H., Lehavot, K., & Knapp, S. (2009). Psychotherapist self-disclosure and transparency in the Internet age. Professional Psychology: Research and Practice, 40(1), 22–30.
<a href="https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fdoi.org%2F10.1037%2Fa0014745&data=05%7C02%7Ccounselor_educ%40listserv.ohio.edu%7C686a20d081174764ba1c08de576ce005%7Cf3308007477c4a70888934611817c55a%7C0%7C0%7C639044322279523353%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=DX2a2xYH%2Fkq%2BDNZrrnZexO89n494QJDSpIblJ%2BrLNDU%3D&reserved=0" originalsrc="https://doi.org/10.1037/a0014745">
https://doi.org/10.1037/a0014745</a><o:p></o:p></span></li></ul>
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<p class="MsoNormal"><span style="font-size:11.0pt"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<br>
Christine Suniti Bhat (she/her), PhD, LPC, LSC (OH)</span><span style="font-size:11.0pt;mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Professor, Department of Counseling & Higher Education</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">The Patton College of Education</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">OHIO University, Athens, OH 45701</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"> </span><o:p></o:p></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Past-President, American Counseling Association, 2025-2026</span></i><o:p></o:p></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Fellow, American Counseling Association<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Fellow, Association for Specialists in Group Work<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p> </o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Office: Patton Hall, 432F</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Phone: 740-593-4425; Email:
<a href="mailto:bhatc@ohio.edu"><span style="color:blue">bhatc@ohio.edu</span></a><br>
Website: <a href="https://www.ohio.edu/education/bhatc"><span style="color:blue">https://www.ohio.edu/education/bhatc</span></a><br>
Media: <a href="https://www.ohio.edu/experts/expert/christine-suniti-bhat"><span style="color:blue">https://www.ohio.edu/experts/expert/christine-suniti-bhat</span></a></span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif;color:black;background:white">Note:<i> I may send emails outside typical working hours. Please respond during your workday or when it is most convenient for you to do so.</i></span><span style="font-size:10.0pt"><o:p></o:p></span></p>
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