Question

Is it ethical for my therapist to charge me for going over time when he doesn’t keep track of the time? He just suddenly looks at his watch and is surprised we are over time and then I see the charge on my card without any advance discussion.

Answer 1

Ethics in therapy practice emphasize transparency, fairness, and respect for the client's rights and well-being. In this situation, it does raise ethical concerns if your therapist charges you for going over time without keeping track of the time and without any advance discussion.

Here are some key points to consider:

1. Informed Consent: It is essential for therapists to establish clear boundaries and ensure that clients are informed about the therapeutic process, including the session duration and any potential fees for going over time.

2. Time Management: Therapists should be responsible for managing the session time effectively. If they find that the session is going over time, they should address it promptly with the client and discuss whether to extend the session or conclude it and schedule a follow-up.

3. Fees and Billing: Billing practices should be transparent and discussed in advance. Clients have the right to know how much they will be charged for the therapy session and whether additional fees will be applied if the session goes over the allotted time.

4. Open Communication: Ethical therapists encourage open communication and welcome discussions about any concerns or questions their clients may have. If you are uncomfortable with the billing or the lack of time management, you should feel comfortable discussing it with your therapist.

5. Therapist Responsibility: Therapists have a duty to act in the best interest of their clients and follow ethical guidelines set by their profession's governing bodies.

Considering these points, it would be ethically appropriate for you to raise your concerns with your therapist. You can express your feelings about the surprise charges and the lack of time management, seeking clarification on the billing practices and discussing your expectations for the sessions. If your therapist is receptive to your concerns, it can lead to a healthier therapeutic relationship.

If your therapist dismisses your concerns or continues with the same practices without addressing the issue, you may want to consider seeking a second opinion or finding a new therapist who adheres to ethical standards and respects your needs as a client.