If a client is advised by their sponsor to stop taking antidepressants, what should the counselor do first?

When a client is advised by their sponsor to stop taking antidepressants, the most appropriate first step for the counselor is to obtain client authorization to discuss the matter with the sponsor. This approach aligns with ethical counseling practices regarding confidentiality and client autonomy. It recognizes the importance of involving the client in decisions regarding their treatment and ensures that the counselor has a clear understanding of the context behind the sponsor's advice.

By seeking the client’s permission to communicate with the sponsor, the counselor reinforces the therapeutic relationship and prioritizes the client's rights and preferences. Additionally, this step allows the counselor to gather more information, understand the rationale behind the sponsor's recommendation, and support the client in making informed decisions about their mental health, with an emphasis on safety and well-being.

This approach is crucial since the client's mental health treatment, particularly the use of medications like antidepressants, should not be interrupted without proper medical guidance. Engaging with both the client and sponsor collaboratively ensures that any changes in treatment are handled safely and responsibly.