Identify key ethical considerations when delivering CBT.

• A. Informed consent, confidentiality, and client billing practices
• B. Maintaining rigid adherence to manuals without client input
• C. Informed consent, confidentiality, and client billing practices
• D. Only focusing on symptom reduction without ethical considerations

Answer: (C)

Ethical practice in CBT centers on respecting client autonomy, protecting privacy, and ensuring fair, transparent treatment processes. Informed consent ensures clients understand what CBT involves—the goals, techniques, time frame, potential risks and benefits, and alternatives—and that they voluntarily agree to participate and can revisit or revise their consent as therapy progresses. Confidentiality protects what clients share in sessions, with clear limits for safety, safeguarding, or mandated reporting, and proper handling of records and supervision. Billing practices matter ethically because fees and payment processes should be transparent, fair, and non-exploitative, with clear explanations of costs, cancellations, and how financial issues could affect access to care.

The other options miss essential ethical dimensions: rigidly adhering to manuals without client input ignores collaboration and individualized care, while focusing only on symptom reduction without considering consent, privacy, or financial fairness neglects fundamental professional ethics.