Case A: Joey & EAP

You are seeing Joey, a 25-year-old man, who was referred through his employer’s Employee Assistant Program. The man claims symptoms of depression and anxiety. He states that if his boss finds out he has depression they will move him to a less favorable position and he is afraid it will make him further depressed. You have ruled out current suicidal ideation but Joey has a history of suicidal thoughts. You are limited to 6 sessions to help him. The next day after his session, his boss-Frank calls and leaves you a message stating that Joey mentioned he was seeing you for therapy and gave Frank permission to contact you.

What is the Ethical Dilemma, and how would you respond as a therapist?