Consultation is a cornerstone strategy for supporting the implementation of cognitive behavioral therapy (CBT) in mental health settings, yet the ethical challenges unique to this role are not well addressed by existing guidelines. This presentation examines five key areas where ethical dilemmas commonly arise in CBT consultation — role clarity, power dynamics, professional and cultural differences, confidentiality and privacy, and mandated reporting — illustrating each with case examples drawn from real implementation experiences. Attendees will leave with practical tools to strengthen the ethical foundation of their consultation practice and support high-quality, equitable delivery of evidence-based care.

When individuals seek psychological treatment, they enter a relationship characterized by an inherent imbalance of knowledge, authority, and trust. This workshop examines the professional responsibility that accompanies that power, including recognizing the limits of one's competence, providing disorder-specific evidence-based treatments when available, referring when appropriate, and responsibly advancing care for patients whose presentations extend beyond existing treatment models.