PsychiatryTalk

Posts Tagged ‘confidentiality’

Role of Psychiatrist or Other Mental Health Therapist With Patients Who Have Thoughts of Killing Themselves and/or Someone Else.

Posted on April 17th, 2015 by Dr. Blumenfield

As details emerge various news stories of terrorism, and murder/suicide events, there are important questions being raised about how should a mental health therapist approach patients who may have the potential for violence towards themselves or others. I would suggest that the following questions should be considered. What should a psychiatrist or another mental health […]

Discussion of Patient Who Heard Neighbor Say He Put Someone to Sleep

Posted on March 29th, 2012 by Dr. Blumenfield

The following is the second case originally presented in this blog several weeks ago for comments. Included are two invited comments and any further comments from the readers are welcome Case #2 A senior psychoanalyst  is supervising a junior colleague who is treating the  following case. The patient is a single 36 year old dental […]

Discussion of the Patient Who Slapped a Child

Posted on March 12th, 2012 by Dr. Blumenfield

During a recent blog , I presented two case histories which I thought might stimulate different points of view on how to react to the situations described . I asked two  colleagues if they would respond . Today I will restate the first case and then I will present their views. I will also print […]

What Should a Therapist Do in These Situations?

Posted on February 22nd, 2012 by Dr. Blumenfield

Being a psychotherapist is a complicated job. Not only must you be knowledgeable about human behavior, psychodynamics and various techniques of doing therapy, but you have to be prepared for unexpected dilemmas . Two cases are presented below which bring up potential legal and ethical issues as well as technical considerations, which the therapist has […]

When A Nanny Slaps a Child

Posted on October 6th, 2010 by Dr. Blumenfield

A nanny tells her psychiatrist that she has slapped the 18 month old child under her care. A course of action for the therapist could include filing a report of child abuse, a Tarasoff warning to the family and an involuntary hospitalization of the patient if indicated. The possibilities of what could happen if the therapist did the above or some other action were discussed.