Above all else, do no harm. 

This is one of the most fundamental ethical principles of my profession. 

It sounds simple. And, yes, it is. 

Licensing boards outline do no harm in procedural terms. Boundaries, confidentiality, scope of practice. These matter.

And they are not the whole of it. 

Do no harm is not limited to what happens inside a therapy room. 

It is a moral stance. 

It means questioning systems and actions that cause fear, injury, or erasure. 

To do no harm means affirming people’s right to love freely, to live safely, to have bodily autonomy, and to exist without terror or coercion. 

As a therapist, my ethical responsibility does not require neutrality in the presence of harm. 

Above all else, do no harm is choosing humanity.

Over and over again.

In solidarity,

xxx

Lisa