The most basic precondition for meaningful psychotherapy is privacy. Absolute, total privacy. During, after, and forever. It is non-negotiable. A patient may or may not understand why this is necessary. But the therapist must understand it. https://twitter.com/KemtrupTweets/status/1513951790609231877

/2 Part of privacy means the psychotherapist’s role in patient’s life is psychotherapist—and only psychotherapist. Accepting an endorsement automatically creates another role. The possibility of a future endorsement after therapy ends also changes the therapy relationship.

/3 Note this is not an “ethics” issue (although it is an ethics issue too). It is a CLINICAL issue. It changes the therapy relationship in ways that impact the work. A therapist who does not understand why this is so has missed something essential in their training.