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From a legal as well as ethical point of view, healthcare professionals are obliged to obtain informed consent of patients. But what should informed consent mean in psychotherapy? An appropriate informed consent which includes an agreement about goals and tasks is instrumental for augmenting mutual trust and contributes substantially to the formation of a strong therapeutic alliance as a central component of a successful psychotherapy. Rather than implicitly consenting to psychotherapy, a patients with preserved decision-making capacity should be provided with transparent and customized information in order to voluntarily consent to a psychotherapeutic treatment.