Can therapist dating patient
I’m just concerned that all of these factors together will result in any therapist I work with wanting to hospitalize me. Self injury falls in a sort of gray area in between what is reportable and what isn’t. to be very clear, what I have to say here applies to the United States of America only; other countries will have different rules in place.If that’s the help I need then I’m guardedly open to it, but obviously I’d rather not go that route if it’s not necessary. In most USA jurisdictions, psychotherapists (at least the licensed ones) are mandated by state law to report certain behaviors to responsible authorities (e.g., the police, physicians, etc.).If the patient is new to the therapist and there is no track record, the therapist has no way of knowing if the patient is likely to be under or over representing the degree to which they are able to keep themselves safe.Many people who self injure will report suicidal ideation and other signs that are consistent with an elevated suicide risk.Especially new and relatively inexperienced therapists, and therapists who are feeling the need to be more rather than less cautious may mistake self-injury for suicide and pull the trigger on reporting.If you think about the situation from the perspective of a therapist, the temptation to report when someone tells you they are engaged in a risky and potentially lethal set of behaviors such as self-injury is very high.
Abuse of other people is almost always a reportable issue no matter what age the victim may be.No exceptions are made for terminally ill people who would like to avoid pain and suffering, etc., unless this is specifically provided for by other state law (e.g., the State of Oregon may have different rules but I’m not sure about that).Licensed psychotherapists generally also have a legal and ethical duty to protect their patient’s privacy.All of these issues should be explained to patients by therapists during their first therapy meeting during the part of that meeting where informed consent takes place.This sort of stuff should be documented in writing, and many therapists like to get patients to sign off on a paper saying that they understand the rules.
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Patients who are reported on will inevitably feel betrayed, even if they logically can understand why the therapist chose to report.