There are some telltale signs that may signal client dishonesty. One such red flag is when clients offer historical background information that seems difficult to reconcile with their presenting problems, or (similarly) when their presenting problems create an oddly inconsistent profile (Pankratz, 1998).

All therapists are legally required to maintain confidentiality for their clients. Confidentiality means that a therapist cannot confirm or deny even treating the client if someone asks. Furthermore, they cannot discuss any revealing contact information, such as a client's name or demographics, outside of the session.

If a therapist talks excessively about themselves or overly discloses personal information, cannot accept constructive criticism, or refuses to discuss what the process will be like and what kind of progress can reasonably be expected, they are likely not the best choice for most clients.