Counsellor behaviour

[fascinated]

Is it acceptable for a male counsellor to touch a female patient’s knee when she is distressed?

I think it depends on the patient and the reason for the distress. Most likely it was just instinct to reach out and comfort someone in pain.

I think it depends. If he reached out and gently tapped to bring the patient down and back to the conversation, if they were extremely distressed I MIGHT think it was ok. If he rested his hand on the client’s knee then no, that’s not ok.

Not enough context. But if it’s made the person question it then I’d say no, it’s not ok. Your boundaries are important, and the therapist should be aware of them and tuned into you.

As a blanket rule no. Counsellors should establish boundaries, this is for the benefit of the client and themselves.
If something has happened within a session that makes you feel uncomfortable this should be brought to the attention of the agency the counsellor practices with. In the case of a private therapist I would consider contacting the ethical body, usually BACP.
Of course there are circumstances where this may be appropriate, agreed upon boundaries discussed. However this does not negate your comfort.
A counsellor working in a safe and ethical manner will have no issue clarifying any interventions or actions within a session.