Learn ethical best practices for social media use in mental health. Protect client confidentiality, manage professional identity, and avoid dual relationships.

Introduction

Social media offers therapists opportunities for education and marketing—but it also creates ethical risks around confidentiality, dual relationships, and professionalism.

Risks of Social Media in Clinical Practice

  • Clients “friending” therapists online.
  • Sharing personal content that undermines professionalism.
  • Risk of breaching confidentiality in casual posts.

Case Vignette

Mark, a client, followed his therapist’s Instagram. He later felt betrayed when he saw posts about politics that conflicted with his values.

Lesson: Online identity impacts therapeutic trust.

Best Practices for Social Media Ethics

  • Separate personal and professional accounts.
  • Use disclaimers: “Content is not therapy.”
  • Avoid interacting with clients’ posts.
  • Review APA/ACA/NASW social media guidelines.

Conclusion

Social media can enhance professional visibility—but boundaries are critical.