[Wren_]

*trigger warning*
I'm just puzzling over some things here ... wondering
about variations in therapy in treatment in reactions

a group of people all tell their T the same thing - that they are struggling with suicidal thoughts

t1 calls the police, removes the keys from their client so they can't drive and has them taken to hospital
t2 talks to the client and encourages them to go to the hospital for voluntary commitment
t3 says you are wasting my time with this manipulation get out of here and if you pull this again you are terminated
t4 says nonsense you don't feel that way at all
t5 says you should call a crisis line if it gets worse
t6 encourages you to have multiple sessions with them and promises you they are there and regularly checks in with you
t7 won't let you leave until you have a support plan in place and are aware of different coping mechanisms
t8 lets you leave and will be there again the following week to continue if you return

obviously there are a lot of other variations and extremes as well and variation within each of these possibilities

but how can there be so many different responses and what does it mean?

that one client is more deserving of help than another somehow?

I suppose how they handle it is as individual as the individuals they are working with. I don't think it has to do with how deserving a client is. We are all deserving. I just think different clients present differently to the therapist or pdoc, and the caregivers have to do what they believe is right for that particular client.

If I have suicidal thoughts, my T and Pdoc are likely to go with the t2, t6, or t7 methods because I have a history of very rapidly deteriorating and becoming extremely impulsive, so they don't risk leaving me to my own devices. Another patient who presents with suicidal thoughts may not really worry the T or Pdoc that much as suicidal thoughts alone aren't necessarily dangerous. They would need to see an intent and/or a plan before they took more aggressive action.

[Miswimmy1]

I think it is based off the client/situation. What works with some will make the situation way worse than another. U know? Like for instance, when I am hurting, I was someone to tell me it will be ok, comfort me. Another might want to be left alone. U know? I think it's up to the t to make a judgement call, and sometimes they don't make the right ones. But I rly xont think it's ovr who is more "deserving" than another

[Wren_]

thanks chris and miswimmy ... just feeling very alone and frustrated with everything right now

[rainbow_rose]

i understand the frustrated feeling, tigergirl. Sorry you are feeling this way.

[Victoria'smom]

My T is a mixture of T2 and T8 because T trusts me to do the right thing.

[delicatefade26]

Originally Posted by tigergirl

*trigger warning*
I'm just puzzling over some things here ... wondering
about variations in therapy in treatment in reactions

a group of people all tell their T the same thing - that they are struggling with suicidal thoughts

t1 calls the police, removes the keys from their client so they can't drive and has them taken to hospital
t2 talks to the client and encourages them to go to the hospital for voluntary commitment
t3 says you are wasting my time with this manipulation get out of here and if you pull this again you are terminated
t4 says nonsense you don't feel that way at all
t5 says you should call a crisis line if it gets worse
t6 encourages you to have multiple sessions with them and promises you they are there and regularly checks in with you
t7 won't let you leave until you have a support plan in place and are aware of different coping mechanisms
t8 lets you leave and will be there again the following week to continue if you return

obviously there are a lot of other variations and extremes as well and variation within each of these possibilities

but how can there be so many different responses and what does it mean?

that one client is more deserving of help than another somehow?

Hi tigergirl I'm just curious to which way would you want a T to respond to you?

[Wren_]

Probably the ones Chris mentioned with 2, 6 and 7 ... thanks for asking delicate

[delicatefade26]

Originally Posted by tigergirl

Probably the ones Chris mentioned with 2, 6 and 7 ... thanks for asking delicate

Yeah I think those sound good too

[sunrise]

My T would let the client talk about their suicidal thoughts. He said this can be a relief to the client and help relieve tension. He is more apt to "take action" if there is intent and a plan, not just ideation. He also makes the client with suicidal ideation contract for safety before leaving his office. If the client can't, he is likely to take action. My first T was big on helping the client develop a support network.

[Wren_]

I wonder why some t's do very little of that support network part