Quote:
Originally Posted by OneWorld
I agree that there are types of therapists and environments that are conducive towards helping various issues. A person in private practice who works alone in an office should never have to feel badly for terminating a client who makes them fear for their safety. Those clients are best served in a location with more accountability and safety measures in place.
I believe that a T has every right to refer out when they believe they can't help appropriately in their setting.
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Problem is there is a lack of availability of mental health treatment and then of course if its not covered by medicaid or insurance even more inaccessible...so people are told 'go to therapy' keep up with therapy and then all there is is one on one CBT...with a lot of inexperienced therapists and those more prepared to deal with people with more mild issues...which is how situations like that arise.
As for punching a table being abuse, I don't really see that...I mean in my family people have hit inanimate objects out of anger rather then hitting someone...by brothers bloodied his knuckles a few times but he does not abuse people and would prefer dealing with a broken hand then harming someone. I can see how it could disturb people though...of course therapists have the right to terminate with people they aren't comfortable providing therapy for...but should still follow proper procedure and have that individual told as soon as possible they can't go to that therapist anymore and give a referral to something that could work better rather then have them show up to the appointment and then have to be informed after waiting you can't see that therapist anymore. Also the bit about the therapist withholding medical records does sound rather manipultive it is best if people know what condition's they have, are being treated for and what the treatments are even in the psych ward they have to give you that information if you request it. But yeah the therapist shouldn't have to feel bad if they are unable to help a certain client, and the individual who was terminated should not be encouraged to feel guilty like a terrible plauge on the earth. Its just not a great situation for either side I imagine.