4.2.d Significant issues related to being a survivor of emotional/physical/sexual abuse. Often, the individual will already be participating in psychotherapy for these issues. It may be helpful for the pastoral representative to secure consent for release of information from the individual for the purpose of professional consultation between the individual's psychotherapist and pastoral counselor. This is most useful if pastoral visits extend beyond one session and if there are specific safety concerns for the individual, including suicidal ideation.