“…Doing so in the context of health carries the same risk, but is more clearly condemnable as remote diagnosis and/or treatment without consent. Opinions vary widely about the therapist's responsibility to seek consent from an absent partner, ranging from the opinion that involvement of the partner is wholly subject to the attending client's right to self‐determination (Kaslow, ) to the opinion that treatment should not proceed without the absent partner's education about the risks of ITCP and that partner's written consent for the client to be treated individually (Wilcoxon, ). Involving a partner belatedly or intermittently in ITCP raises other ethical issues, for example, the role of the partner as a client or collateral participant, the choice of referral to a couple therapist versus change of treatment format with the individual therapist (Patterson, ) and the informed consent requirements inherent in both decisions.…”