Question 147 / 150:  The new ACA ethical guidelines stipulate that a counselor can

refrain from making a diagnosis if the counselor believes the

diagnosis could harm the client or others.

A  Therefore, a counselor could ethically diagnose all clients as having an adjustment disorder
to secure insurance since this diagnosis is somewhat benign and not likely to harm the client
B  A counselor could refrain from making an Axis I or an Axis II diagnosis if it is in the best
interest of the client.
C  A decision to refrain from making a diagnosis is ideally made in collaboration with the client,
although the counselor has the fi nal say
D  Choices “b” and “c” are both correct.
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NCE: Counseling Families, Diagnosis, and Advanced

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