Larisa is a counseling intern at a clinic for clients with co-occurring disorders. Shirley, a bus driver for the school district in which Larisa lives, was assigned to Larisa as her client. Shirley was mandated to counseling for treatment of methamphetamine use disorder and alcohol use disorder, following a vehicle accident that occurred while at work, at which time Shirley was intoxicated and received her second DUI citation. Shirley sees Larisa individually every week, in addition to Shirley receiving intensive outpatient services for substance use at another agency. Shirley has been doing well with attending weekly counseling sessions, and over the last month Larisa has established good clinical rapport with her. Shirley undergoes routine random drug tests per the court’s requirements through her addiction counseling agency, meaning Larisa does not personally drug test her. Shirley confides in Larisa that she slipped last weekend and drank “a few glasses of wine” at her friend’s house. Shirley believes she will be okay, as alcohol usually stays in the system no more than 72 hours and is not likely to appear in an upcoming drug test. She implores Larisa to say nothing, because if the courts find out that she lapsed, she will be “thrown in jail” as part of the conditions of the drug court requirements. Although Larisa has a good relationship with the probation officer who requests monthly updates on Shirley’s progress and attendance, Larisa decides not to disclose Shirley’s recent relapse because Larisa did not want to compromise the counseling alliance. At Larisa’s next supervision session, her site supervisor asks how things are going with all of her clients. Larisa thoroughly discusses all of her other clients, but she intentionally skips over Shirley because she does not trust her supervisor and is concerned that he may report Shirley’s lapse to her probation officer. Because she realizes that it is important as a counseling intern to get professional feedback for all of her clients, Larisa texts one of her peers, Bill, who is also a counselor-in-training and also in her internship class to set up a zoom meeting for consultation pertaining to Shirley. During the zoom session Larisa provides Bill with a brief biopsychosocial history of Shirley and her reason for mandated counseling, without revealing her name. Larisa also shares that she did not tell her site supervisor about Shirley’s lapse. Upon hearing about Shirley’s background and reason for being in counseling, Bill begins to put two-and-two together and realizes that Shirley was his young son’s bus driver. Bill angrily threatens Larisa and says, “If you don’t report her relapse to the appropriate people, I am going to! She needs to be punished!” In that moment, Larisa regretted not telling her supervisor and is unsure what to do next.