A school counselor was working with quan, whose presenting problem was anxiety pertaining to academic success in college. this was within the scope of the school counselor's training. however, during the course of therapy, quan became very depressed and engaged in selfÂmutilation and other forms of selfÂdestructive behavior. quan's counselor recognized that these symptoms and behaviors reflected a problem area that was outside the scope of his practice. ethical practice required that the school counselor: