Card 149 / 153: The agency you work for insists that you diagnose every client. Since this is in violation of the new ACA ethics this would qualify as “negative conditions.” You could handle this by
A) Meeting with your supervisor and executive director of the agency and discussing other ways to secure funding that go beyond DSM reimbursement
B) Advocate for the client by explaining to the insurance company asking for the diagnosis that in some cases it is best that a diagnosis not be given. You could even teach the client to advocate for herself by having her inform the insurance company that a diagnosis might not be in her best interest.
C) Show your supervisor, executive director, or insurance company/managed care fi rm the actual ACA Code of Ethics so they can see it in writing that the code stipulates that “Counselors may refrain from making and/or reporting a diagnosis if they believe it would cause harm.”
D) All of the above.

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