Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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Which situation must a therapist disclose information as per the "duty to warn" legal principles?

Client reveals past trauma
Client threatens harm to an identifiable individual
Client expresses dissatisfaction with treatment
Client mentions a history of substance use

The correct answer is: Client threatens harm to an identifiable individual

The principle of "duty to warn" requires a therapist to breach confidentiality when a client poses a credible threat of harm to an identifiable individual. This legal and ethical obligation is rooted in the responsibility of mental health professionals to protect potential victims from harm. In situations where a client explicitly communicates the intention to inflict harm or violence on a specific person, the therapist is mandated to take action, which may include disclosing this information to law enforcement or the potential victim. Other situations, like a client revealing past trauma, expressing dissatisfaction with treatment, or discussing a history of substance use, do not inherently involve an immediate risk to another person's safety and therefore do not trigger the same obligation to disclose information. These matters are typically treated with confidentiality and managed within the therapeutic context unless they evolve into something more threatening.