Quote:
Originally Posted by Redsoft
If the therapy fails because a patient is reluctant to a point of complete resistence/inaction or lacks the capacity to try, regardless of how badly they actually need the help, the patient was not ready for therapy. They need to want it. They are the one that enlisted the therapist's service in the first place. If it is so serious as to warrant action still/they do not have the capacity to think clearly for themselves, that would be out of the depth of the "regular" therapist role that is being discussed here and into inpatient stuff.
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Except that it's unethical to dump highly suicidal clients. And just imagine the potential consequences for the therapist if they terminate a very suicidal client and they actually go and kill themselves. They would be held liable.
And let's be honest, most people can't stay inpatient for more than few days and even that's a stretch for some.
If you're at the limit of your competence and are faced with a situation where you don't know how to help your suicidal client anymore the solution shouldn't be termination, it should be seeking out consultation.