Before offering to share a case conceptualization, therapists should

• A. Ask the client's permission
• B. Explain their reasoning
• C. Seek supervisor approval
• D. Provide a summary

Answer: (A)

Consent and confidentiality guide this step. Before offering to share a case conceptualization, the therapist should obtain the client's permission to disclose their case material. This protects the client’s autonomy, preserves trust in the therapeutic relationship, and clearly informs the client about who will see the information and for what purpose. When asking for permission, the therapist should explain what will be shared, with whom, and how it will be used, and obtain explicit consent (ideally in writing). If consent isn’t given, sharing should not occur, since doing so could breach confidentiality and damage the therapeutic alliance.