How should MFTs respond when a client is suspected to be under the influence of substances?

When MFTs suspect that a client may be under the influence of substances, the most appropriate response is to assess the client's capacity to engage in therapy. This approach is grounded in ethical practice and ensures that the therapist can make informed decisions regarding the client's ability to participate effectively in the therapeutic process.

Assessing the client's capacity involves evaluating their level of awareness, coherence, and ability to comprehend the therapeutic process. Substance use can significantly affect a person's cognitive functions, emotional stability, and overall engagement in therapy. By determining whether the client is capable of benefiting from the session, the therapist can ensure that the client receives the appropriate care and support they need, potentially including referrals to substance use treatment if necessary.

This thorough assessment aligns with the therapist's responsibility to prioritize client welfare and promote their safety. It allows the therapist to adapt their approach depending on the client's mental state, provide appropriate interventions, or decide if rescheduling the session is necessary.

Other responses, such as terminating the session immediately, may not take into consideration the client's overall needs or provide an opportunity for assessment. Similarly, ignoring the signs of substance use would be unethical and potentially harmful to the client. Suggesting a group therapy session without first assessing the client's current state could also be inappropriate, as group