Therapists and counselors have been expressing concern for some time now that Facebook can “out” their clients to other clients, even when the therapist or counselor has not done anything to facilitate the connection. It can happen even when the therapist or counselor doesn’t use Facebook. Thanks to some good reporting by Gizmodo Media, we now have a better understanding of how that happens. We also now know just how little you can do to stop it.
The whole article “How Facebook figures out everyone you’ve ever met” is really worth your time. Here, I’ll just share some of the pieces most relevant to counselors, therapists, and other mental health professionals. For us, if even just a few of your clients use Facebook, the likelihood of keeping all your therapeutic relationships truly confidential is near zero.
Prelicensed therapists and counselors face a difficult road. Getting to licensure is a long and expensive process, so much so that even many well-qualified people drop out. 
Therapists in private practice often set aside money for marketing. Those in agencies or group practices may also have some control over how and where the business is advertised. But as therapists, we don’t usually get much training in marketing. As a result, it’s easy to be tricked into wasting that money. Here are four ways that can happen.