This is very community dependent and yours is a “big city”/urban answer. In smaller communities people often have no choice but to see a therapist they may already know from another context and it’s not considered unethical. That’s just the supply there is. |
Not really, and in this case, it was definitely an ethics violation for an actual therapist: https://www.apa.org/ethics/code |
Someone in the same Bible study group should not be your therapist. It doesn’t matter how small the town is. |