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David Kaplan: Today we are going to be talking about changes around sexual or romantic relationships specifically as they relate to Standard A.5. To start off, my understanding from the new code is that sexual or romantic interactions between a counselor and a current client continue to be prohibited. DK: However, some things that do change include increasing the number of intervening years that must pass in order to have a romantic/sexual relationship with a former client and a new prohibition on romantic/sexual relationships with the family members and romantic partners of clients. The counseling relationship is one based on trust, so we must respect the power differential inherent in any counseling relationship regardless of the counselor’s theoretical orientation or perspective.Engaging in any type of sexual or intimate relationship with a current client is abuse of power.The issue here is whether or not the therapist/client relationship truly lasts in perpetuity.And if so, what are the logical ramifications or consequences?In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site.Medscape uses cookies to customize the site based on the information we collect at registration.If, in fact, “once a client, always a client,” then we would run into some interesting situations that create ethical dilemmas with no easy solutions.If Hollywood is an indicator of our most common fantasies, modern Americans want to sleep with their therapists.

Ask your colleagues and co-workers, and see what they say.

Clients come into counseling emotionally and psychologically vulnerable and in need of assistance, so a counselor trying to engage in such relationships would be trying to take advantage of that client and their vulnerabilities to meet their own needs.

Relational/cultural theory frames this as striving for a “power with” instead of a “power over” relationship.

In a committed relationship, you can break up and go separate ways. However, does your client ever stop being your client, no matter how much time has elapsed since the end of treatment?

Among students, senior clinicians, and many faculty, this is a near universal opinion. Before you read further, let me be absolutely clear.