The worker utilized the level three as well as four reflection during the session, depending on the issue addressed at the time. At the initial stage of the meeting, the client felt that there was a possibility that whatever she discloses to the worker during the session would be discussed outside the agency because her ex sister in-law works at the department. The client made comments like; “so what would you do with the information’s you have gotten from me?”, and “I would not appreciate anyone gossiping about me after reviewing my chart”. The worker understood her concerns and re-assured her about privacy and confidentiality at the health department as well as with the social work profession. On the other hand, I think the client assessed
