Card 138 / 153: A counselor is seeing a client on a managed care plan. Unfortunately, the client has used up her maximum number of sessions for the year. The counselor is convinced that the client is in need of additional counseling, however, the counselor’s agency will not allow him to see her for any additional sessions. The best plan of action would be for the counselor to
A) Refer the client for continued counseling to a practitioner who will see the client whether or not she has managed care benefi t
B) Empathize with the client, but be sure to explain that she is catastrophizing (an irrational thought pattern delineated by Albert Ellis) and use REBT, a cognitive therapy, to help her cope with the fact that she cannot be seen again until next year.
C) Threaten to sue the managed care company, since this would be in violation of ethical care for the client
D) See the client, but don’t tell your supervisor. This is both legal and ethical.

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