This article explores information regarding the development of multiple relationships (where several roles exist between a therapist and a client, such as when the client is also a student, friend, family member, employee, or business associate of the therapist) in rural communities while engaging in therapeutic practices. It looks at the delicacies of such unavoidable relationships and offers guidelines to support therapists who will inevitably be required to push boundaries while balancing codes of ethics. Due to the vagueness of the information that exists and the lack of training that most counsellors have when practising in rural communities, it is imperative that professional judgement is used on an individual basis to assess the extent to which multiple relationships should exist while counselling in a rural community, for the protection of all involved.