What should a psychologist do when impaired while in a relationship with a client?

When a psychologist recognizes that they are impaired while in a relationship with a client, the appropriate action is to terminate that relationship and assist the patient in obtaining services elsewhere. This approach is grounded in the ethical principles of psychology, which prioritize the well-being and best interests of the client above all else.

Impairment can stem from various sources, including personal issues, substance use, or mental health concerns, and it can significantly affect the psychologist's ability to provide effective care. By terminating the relationship, the psychologist avoids any potential harm that might arise from continuing treatment while not fully capable of offering the necessary support and attention. Additionally, facilitating the client’s transition to another qualified professional ensures that they receive proper care without interruption.

Other options, such as continuing without addressing the impairment or merely consulting a colleague without taking action, do not adequately protect the client or uphold the ethical standards of the profession. Referring the client to a peer for further assessment might be appropriate in some contexts, but it does not address the immediate need to remove oneself from the role of the caregiver in a compromised capacity. Therefore, the most ethical and responsible decision is to terminate the therapeutic relationship and actively support the client in finding alternative services.