National Counselor Exam (NCE)

When a client cannot afford your usual fee, what is an appropriate ethical response?

1. Refuse to take him as a client

2. Consider his financial situation and negotiate a reduced fee if warranted

3. Offer to provide services free of charge

4. Encourage him to seek counseling elsewhere

The correct answer is: Consider his financial situation and negotiate a reduced fee if warranted

Considering a client's financial situation and negotiating a reduced fee if warranted is an appropriate ethical response because it demonstrates compassion and a commitment to the client's well-being. The counseling profession emphasizes accessibility to mental health services, and being flexible with fees aligns with ethical standards that prioritize client care over profit. By negotiating a reduced fee, the counselor acknowledges the client's financial barrier while still offering support and services that the client may need. This approach fosters a therapeutic alliance built on trust, understanding, and the counselor's empathetic consideration of the client's situation. In contrast, refusing to take the client or encouraging them to seek counseling elsewhere may deny them vital support and suggests that financial limitations dictate access to care. Offering services for free, while seemingly generous, can undermine the professional relationship and may not be sustainable for the counselor in the long term. Balancing ethical practices with financial considerations seeks to promote fairness while maintaining the integrity of the counseling relationship.