Nope, he get very serious as ideations start to get worse. Once admitting to actual plan an serious thoughts, we sign contracts, more frequent check ins.. And he has called family before. He says that one of the reasons he has never had to deal with it.

I think though, the bulk of his clients are parental evaluations, court ordered therapy.. So they don't stay very long. And maybe he doesn't take in a lot of high risk clients.