If a therapist requests a client's records with signed authorization and the client has unpaid bills, what should the counselor do?

• A. Withhold the records until payment is received
• B. Comply with the request despite overdue payments
• C. Consult with a legal advisor before proceeding
• D. Inform the client about withholding records

Answer: (B)

When a client requests their records and has provided signed authorization, the therapist is typically obligated to comply with that request regardless of the client's unpaid bills. This principle is grounded in the ethical standards of many professional organizations, which emphasize the client's right to access their own records as part of maintaining transparency and fostering an effective therapeutic relationship.

Complying with the request ensures that the therapist respects the autonomy and rights of the client. The right to access personal records is vital for the client’s informed consent and for their understanding of the therapeutic process. Moreover, withholding records could lead to potential legal implications, as many laws, including HIPAA regulations in the U.S., mandate that clients have access to their health information without conditional limitations related to financial obligations.

While it’s important for therapists to manage billing and fees ethically, this should be handled separately from a client’s right to access their records. Therefore, fulfilling the request for records is the appropriate course of action, regardless of the existing financial situation.