What action should Dr. Smith take when approached for personal therapy by the spouse of a teacher?

Dr. Smith should decline to provide therapy to the spouse of a teacher due to potential conflicts of interest. In professional ethics, it is crucial to maintain clear boundaries in therapeutic relationships to ensure that the therapist can provide unbiased, objective care.

By engaging in therapy with the spouse of a teacher, Dr. Smith may encounter challenges related to neutrality, confidentiality, and the integrity of both the therapeutic relationship and the professional environment. There could be concerns about dual relationships, where the personal and professional roles overlap, potentially leading to issues in judgment or trust.

Maintaining clear professional boundaries not only protects the therapist but also ensures that the spouse receives care from someone who can fully commit to their therapeutic needs without any complications arising from the existing professional relationships. A referral to another therapist would be more appropriate, as it allows the spouse to receive the support they need without compromising ethical standards or the dynamics within the school environment.