When asked, Cash told her that he, too, would have to refer gay couples to another counselor due to his religious convictions about homosexuality. He said he would be happy to counsel gay individuals on any other matter—depression or anxiety, for example—but he could not counsel regarding same-sex relationships. Perryman said that conviction was a violation of the American Counseling Association’s code of ethics. After months of back-and-forth between Cash and MSU, school officials expelled Cash from the program in November 2014.