A 40-year-old man presents to his clinician for a follow-up…

A 40-year-old man presents to his clinician for a follow-up appointment. For the last 2 months, he has had trouble concentrating, decreased appetite, loss of motivation, decreased energy, and difficulty waking up in the morning. He admits to having suicidal thoughts but states that he “does not intend to act on them.” He has been taking the first-line medication with long half-life for this illness for 6 weeks without any improvement. His clinician stops the first medication and prescribes a different medication for this illness that has been available for many years, and the patient immediately begins taking it. What serious adverse event is the patient at risk of developing? 

An adult client expresses ambivalence about continuing thera…

An adult client expresses ambivalence about continuing therapy due to external stressors, but the counselor believes that stopping treatment at this stage could result in relapse. What is the most ethically appropriate action for the counselor to take in this situation?