Marcie is a new client and a 22-year-old female who works as areceptionist in a doctor's office. She has just revealed to youduring the intake session that she has recently lost interest inmost activities, has been sleeping a great deal yet feels tired allthe time, and sometimes wishes she could cease to exist. Shementioned feeling as though she has been \"on an emotional rollercoaster\" during the past year, throughout her on-again/off-againrelationship with a 35-year-old married man. The last breakup withhim seemed final, and Marcie has felt herself sinking deeper anddeeper into depression ever since. When probed further aboutsuicidal ideations, Marcie admitted that she has considered killingherself, although she is uncertain whether or not she wouldactually do it. She said that she is currently in possession of agun that her friend allowed her to keep in her home following arash of burglaries in the neighborhood, but she does not knowwhether she would actually use it.

You have consulted with your supervisor, who has agreed thatMarcie should be referred immediately for a psychiatric evaluationand has instructed you to arrange for Marcie to go directly fromyour office to a nearby hospital. Marcie told you that her motheraccompanied her and is in the waiting room, but she hasemphatically stated that she does not want her mother to know whatis going on with her. How should this delicate situation behandled? Why? What are three ethical and/or legal concerns aboutthis case?