05/14/2026
Many people enter therapy carrying histories where boundaries, consent, autonomy, or emotional safety were not consistently respected.
Because of this, it is not uncommon to struggle with noticing discomfort, speaking up, saying no, slowing things down, or even recognizing when something feels “off” in a relationship, especially one that involves vulnerability and a power imbalance.
Therapy should not rely on clients already knowing how to perfectly advocate for themselves.
Part of ethical, collaborative care is creating conditions where consent is ongoing:
where there is transparency, attunement, openness to feedback, room for questions, and space for clients to meaningfully participate in their own care.