* Inappropriate sexual jokes or references made by the practitioner.
* Having concern that a treatment relationship is moving from the professional to the inappropriately personal.
* When the practitioner tells you his or her intimate personal problems.
* When the practitioner asks you to go outside the bounds of a professional relationship (e.g. – going on a dinner date, or social meeting outside the office).
* When the practitioner tells you that having a sexual relationship with him or her is good treatment/the only way you can get well.
* When the practitioner offers recreational drugs or alcohol.
* When the practitioner asks you to keep your relationship with him or her a secret.
* When the practitioner suggests to you that intimate forms of touching have been proven to be therapeutic for your condition.
* Extension of office hours to see a particular patient.
* Discussion of meeting outside the professional setting.
* Telephone calls or other communications to or from patients about issues unrelated to medical care.
* Inordinate preoccupation with thoughts of the patients
Preventative Self Care:
* Learn to recognize sexual attractions and how to deal with these feelings constructively and therapeutically.
* Seek professional support during times of personal loss or crisis
* Make it a practice to examine and monitor feelings and behaviors toward clients
* Know the difference between having sexual attraction towards a client and acting on this attraction
* Learn about he possible adverse consequences for clients and therapist who engage in sexual activity
* Establish and maintain clear boundaries when a client makes sexual advances toward you
* Terminate the therapeutic relationship when sexual feelings obscure objectivity.
* Counselors should enroll in training programs on ethics, boundaries, and the management of erotic transference and counter transference.
* This educational background at least provides a conceptual framework so they can think about the risk of boundary transgressions and carefully monitor counter-transference as they notice deviations occurring from their standard way of practicing.
* Documentation of what one does and why is essential.
* Regular consultation cannot be overemphasized as a preventive measure.
* Colleagues should take responsibility for their profession by monitoring the behavior of one another.