What should be done if a client loses their job and has been working with you?

When a client loses their job and is experiencing a significant life event, adjusting fees for the crisis situation is a compassionate and ethical response that recognizes the financial hardship they are facing. By providing a more flexible fee structure, you maintain access to necessary mental health services for your client, which is essential in supporting their emotional well-being during a challenging time. This approach not only demonstrates empathy but also aligns with ethical practices in social work, which prioritize client welfare and support.

Furthermore, it helps to foster a therapeutic alliance, as the client may feel understood and valued, rather than penalized for their circumstances. Adjusting fees is a practical solution that can help clients continue their therapy without the added stress of financial burdens, allowing them to focus on their healing and recovery.

In contrast, charging full fees might alienate the client, as it could exacerbate their financial stress and undermine the therapeutic relationship. Terminating therapy abruptly does not consider the client's needs and could leave them without support during a critical time. Offering free sessions indefinitely is not a sustainable practice and could lead to issues of dependency or financial strain on the therapist. Thus, adjusting fees appropriately balances the needs of the client with professional integrity and sustainability for the practice.