Perhaps he is rather feeling annoyance that a client is intruding upon his personal life.
A feeling, as much as a thought, can be the sign of an unspoken ethical concern and we can begin by wondering what may be making Dr. The vignette offers multiple possibilities, ranging from relatively straightforward and benign to quite complicated.
The collaboration may also be helpful in allaying Dr.
Alby's anxiety that he bears full responsibility for the treatment. Alby is responsible for making good, ethical decisions, both he and Kevin bear responsibility for how their relationship evolves.
At present, Kevin has a number of somatic complaints and appears to be experiencing a mild depression.
He has recently engaged in some antisocial behavior (shoplifting and staying out past his curfew), which seems consistent with a "bad boy" persona that he is adopting.