Can a therapist treat someone they know?
Emily Sparks
Updated on April 15, 2026
Confidentiality means that a therapist cannot confirm or deny even treating the client if someone asks. Furthermore, they cannot discuss any revealing contact information, such as a client's name or demographics, outside of the session.
Can therapists treat people they know?
In almost every instance, therapy is absolutely confidential. You therapist is required to maintain confidentiality about everything said in sessions between the two of you, just like a doctor is required to keep your records private.Can my therapist be someone I know?
There are no official rules or ethical guidelines from either the American Psychological Associated or American Psychiatric Association regarding friendships with former clients. Becoming friends with your former therapist is a gray area that presents a number of challenges.Can a therapist treat a friend of a friend?
They are: No physical contact with a patient. No relationship with a patient outside of the consulting room. The therapist should not treat close relatives or friends of the patient.Can a therapist treat their family member?
The latest iteration of the ethics code allows counselors to treat their relatives in certain circumstances. As long as the counselor maintains objectivity, it may be permissible for him or her to treat a relative.What Your Therapist Wants You to Know
Is it weird to have the same therapist as your friend?
There is no law that prohibits therapists from seeing two people who know each other, or even two members of the same family. In some small communities, there may not even be a choice. For example, a high school or college may only have one mental health therapist on-site.Can a therapist treat a couple individually?
There are even therapists who treat the couple by seeing each party separately for a period of time. There are valid reasons for both seeing each partner separately, and only seeing them as a couple. For example, there may be vital information that can only come out without the partner present.Can a therapist see a friend?
While it's not considered unethical to see friends of friends, some therapists would prefer not to do that given the sanctity of each relationship. In some cases, a therapist will choose not to work with two people who are close with each other if they truly feel they cannot remain impartial.Can therapists be friends with former clients?
The professional organizations of psychology (the American Psychological Association) and psychiatry (the American Psychiatric Association) offer no explicit rules about friendships with former patients.Is it OK for a therapist to hug a client?
A therapist can hug a client if they think it may be productive to the treatment. A therapist initiating a hug in therapy depends on your therapist's ethics, values, and assessment of whether an individual client feels it will help them.What can you not tell a therapist?
With that said, we're outlining some common phrases that therapists tend to hear from their clients and why they might hinder your progress.
- “I feel like I'm talking too much.” ...
- “I'm the worst. ...
- “I'm sorry for my emotions.” ...
- “I always just talk about myself.” ...
- “I can't believe I told you that!” ...
- “Therapy won't work for me.”