When can an MFT legally break confidentiality?

The option indicating that an MFT can legally break confidentiality in cases of suspected abuse or danger to self or others is correct because it aligns with the legal mandates established in California law. Therapists have a duty not only to maintain client confidentiality but also to ensure the safety and well-being of individuals. When there is a reasonable suspicion of abuse—whether it pertains to children, elderly individuals, or dependent adults—or when a client poses a danger to themselves or others, the therapist is obligated to report such incidents to the appropriate authorities. This requirement is part of the legal and ethical protections designed to prevent harm and support vulnerable populations, which takes precedence over the confidentiality agreement between the therapist and the client.

In contrast, situations such as believing it will benefit the client or feeling overwhelmed by a client's issues do not provide a justifiable reason for breaching confidentiality. Similarly, a client's request for information to be shared may be honored within the bounds of confidentiality and with informed consent, but it does not apply in situations involving mandated reporting where safety is at risk. The focus on safeguarding individuals underpins the principle that confidentiality can be overridden when public safety is at stake.