Julie is a 13-year-old girl whose mom brought her to see you because of behavioral problems at school. In the first session, you set ground rules that you will only reveal information if Julie's behavior is a threat to herself or others. Four sessions later, Julie tells you that her mom's 35-year-old boyfriend has been forcing her to have sex with him for the past 3 months, and she thinks that she may be pregnant, but she is afraid to tell her mom because her mom "really loves this guy" and may not believe her. What would you do in this situation? Discuss the confidentiality issues with specific consideration given to Julie, her mom, and any authorities to which you need to report.
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