Ethics Isn’t Just a Checkbox: Making Everyday Decisions as a PLMFT

Written by [Haythem Lafhaj]

When we hear the word ethics, many of us picture licensing boards, legal handbooks, or worst-case scenarios. But in reality, ethical decision-making is something therapists do every single day—often in small, quiet moments that don’t feel dramatic, but shape the therapeutic space in profound ways.

One of the most valuable tools for ethical reflection is the SLEEPP model, which invites therapists to examine dilemmas through multiple lenses: Sociocultural, Legal, Ethical, Economic, Political, and Power. This model helps PLMFTs pause, reflect, and act with greater clarity in the moment.

Take, for example, the decision to accept or decline a small gift from a client. Legally, it may be allowed. But ethically? Culturally? Relationally? What does it mean in the client’s world to give a gift? What power dynamics are at play? As Knox (2008) suggests, these interactions must be viewed through an intersubjective lens, not just a policy checklist.

As PLMFTs, we’re constantly navigating the balance between doing what’s “safe” and doing what’s therapeutically right. We want to maintain boundaries—but not at the cost of connection. We want to follow the code—but also stay present to the client’s lived reality. Ethical practice isn’t about rigidity—it’s about reflection.

And sometimes, we won’t have the answers. That’s why supervision, consultation, and continued training are not just for interns—they are ethical imperatives. One of the best pieces of advice I received was this: When in doubt, don’t go it alone.

Ethics in therapy is not static—it’s alive. It shows up in how we greet clients, hold space, protect confidentiality, and honor culture. For PLMFTs learning the ropes, ethical mindfulness is more than rule-following—it’s the art of practicing with integrity, humility, and humanity.

References:
Knox, S. (2008). Gifts in psychotherapy: Practice review and recommendations. Psychotherapy: Theory, Research, Practice, Training, 45(1), 103–110.https://doi.org/10.1037/0033-3204.45.1.103
Fisher, C. B. (2017). Decoding the Ethics Code: A Practical Guide for Psychologists.
AAMFT. (2015). AAMFT Code of Ethics.https://www.aamft.org/Legal_Ethics/Code_of_Ethics.aspx