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It’s also important to note that the following red flags have varying degrees of significance.

Some of them are very serious violations of ethical standards, such as a therapist attempting to have a sexual relationship with a client.

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Major employers include the local schools, the federal government, tribal government, power companies and construction companies.

The education system, farming, ranching and small businesses contribute to the economy.

We have approximately 11,266 enrolled tribal members with about 5,012 residing on the reservation.

However, in small communities it can be impossible to avoid certain dual relationships.

Ethical guidelines are flexible enough to take this, and some other exceptions, into account. The preceding article was solely written by the author named above.

There is no exception to this rule, and if you find yourself in such a situation, you are advised to report to the state professional licensing board and consult with other professionals.

However, a number of the red flags listed below do have “exceptions to the rule” and depend partly on the context.

The items listed below are significant red flags and important information for anyone in therapy or considering therapy.