Couch 210: The Abundant Couch

atisketatasket · Jan 24, 2020 at 09:40 AM

If the client is in the hospital, though, with a social worker in charge, they’re already at a higher level of care, so what good would referrals be? I would expect that was an exception to that “rule.” (Which no therapist or psychiatrist has ever followed for me, so I wonder if it even is a “rule” for them in every state.)

Just to be clear, I don’t think the guy behaved well, but he did fulfill his ethical obligation to get a suicidal client care.

Lemoncake · Jan 24, 2020 at 09:55 AM

Quote:

Originally Posted by unaluna

Somebody somewhere is still breeding with these Neanderthals.

Thank you for the laugh,

LonesomeTonight · Jan 24, 2020 at 09:59 AM

Quote:

Originally Posted by atisketatasket

If the client is in the hospital, though, with a social worker in charge, they’re already at a higher level of care, so what good would referrals be? I would expect that was an exception to that “rule.” (Which no therapist or psychiatrist has ever followed for me, so I wonder if it even is a “rule” for them in every state.)

Just to be clear, I don’t think the guy behaved well, but he did fulfill his ethical obligation to get a suicidal client care.

Hm, true. Maybe "ethical" wasn't the right word here then. I think it was the "Oh, you attempted? Well, you can no longer meet with me again, bye!" sort of thing. Particularly for someone who has been a long-term client, meeting--I think 4 times a week? It just seems particularly cold to not even allow, say, a termination session once she's out of the hospital and/or to say "If you still need help finding someone, I can email (or even mail) you some names."

And I'm not sure it's so much of a "rule" as good practice. I've always been the one to terminate so far, so no experience with what's normally done, just going by what T's have told me they typically do. And also it probably helps protect a T from liability (like being sued or reported), in the sense of being able to say "Yes, I terminated suddenly over the phone, but I did give them 3 referrals and offer a termination session."

unaluna · Jan 24, 2020 at 10:00 AM

Quote:

Originally Posted by LonesomeTonight

Oh, I didn't realize your telling him about the attempt is what made him terminate.

I believe the attempt ends the current t relationship. Like, obviously this person is not helping this client, dont let them have any more contact with them! I dont know if its an unwritten law or ethics or what, but we have seen it on the couch before.

Lemoncake · 10:37 AM

Quote:

Originally Posted by unaluna

I believe the attempt ends the current t relationship. Like, obviously this person is not helping this client, dont let them have any more contact with them! I dont know if its an unwritten law or ethics or what, but we have seen it on the couch before.

Unless it's specifically specified in a contract the client signs i'm not buying it. It feels like a cop out. T could easily say I feel like you need more care than what I can provide and wind down slowly.

stopdog · Jan 24, 2020 at 10:32 AM

Therapists are like everyone else - they cover themselves. The therapist, in my opinion, got scared and quit. Therapists are not good human beings - they create or help create a fantasy. Some of them can see it out and some of them can't or won't.

unaluna · Jan 24, 2020 at 10:37 AM

Quote:

Originally Posted by Lemoncake

Unless it's specifically specified in a contract the client signs i'm not buying it. It feels like a cop out. T could easily say I feel like you need more care then what I can provide and wind down slowly.

Im saying, it is not in the ts hands. the law steps in. It takes an attempt quite seriously. The state has an interest in the clients life.

stopdog · Jan 24, 2020 at 10:40 AM

Any number of therapists don't quit just because a client attempts suicide - I am often appointed to represent the suicide-attempter when the mds want to involuntarily hold my clients in the hospital against their will and I sometimes use those therapists as witnesses. Therapists quit all the time for all sorts of reasons and conveniently blame the client for it.

ElectricManatee · Jan 24, 2020 at 10:40 AM

Quote:

Originally Posted by Lemoncake

Overall I don't think diet would have changed things. You're doing a lot better than other parents and you need to remember that on the tough days.

You're practically a superstar in my book if you've taken the time to actually get to know your child. My father lived with me yet I don't have a single memory of a hug, him reading or playing with me.

Possible trigger:

I was surprised in my pediatrics class by the number of little babies less than 2 years old who had been attacked by their "parents". One little boy had bleeding on the brain and bruises all over his face. There was also another boy M who was was the 6th child to be taken into care from the same mother- she was still only 27 a and he was severely affected developmentally (he was 6 months when his real age was 18 months) because of her heavy drinking.

Lemon, you deserved way better than what you got, and you still deserve way more now. I think it's so sweet the way you try to take care of your siblings with gifts and tickets to fun events. I hope you are able to show the same care and compassion to yourself sometimes.

JaneTennison1 · Jan 24, 2020 at 10:44 AM

I saw regular t yesterday. I was talking about my son reassurance seeking. he gets separation anxiety. the topic went elsewhere and she brought it back. proceeding to give me advice on what i should do about it.

i wanted to reply that i must have missed the part where i asked for advice on my parenting.

atisketatasket · Jan 24, 2020 at 11:39 AM

I cannot believe I am still stuck on this last stupid childhood emotional moment for my writing assignment. And the list is just the first question. Then I have to write. (Yes, I'm going to skip ahead when I'm done whining here.)

I wonder if Info would consider this grounds for an emergency session...?

unaluna · Jan 24, 2020 at 11:45 AM

Ha ha! Robbie the robot took over Hazel the maid's job. Now ive seen everything.

atisketatasket · Jan 24, 2020 at 11:52 AM

Quote:

Originally Posted by unaluna

Ha ha! Robbie the robot took over Hazel the maid's job. Now ive seen everything.

You haven't seen SD praising therapists to the skies yet.

stopdog · Jan 24, 2020 at 12:01 PM

Quote:

Originally Posted by atisketatasket

You haven't seen SD praising therapists to the skies yet.

Or even at all for that matter.

unaluna · Jan 24, 2020 at 12:18 PM

I guess i got distracted by the 2-foot-high stack of blueberry pancakes he made for Mr. B.

Im talking about things that could ACTUALLY happen.

atisketatasket · Jan 24, 2020 at 12:50 PM

Apparently it is National Compliment Day.

SlumberKitty · Jan 24, 2020 at 01:44 PM

I thought I wasn't feeling anything today, but I think I am actually feeling quite sad. I think the feeling was just kind of hidden from me. I am thinking about SH a lot. I need to be working on that self harm safety plan that CC wants me to complete. Why do I not even have motivation to do that? Not much going on at work yet. I keep thinking about having the opportunity to SH this weekend. I should try planning something else. Like something not self destructive. It's hard because like that is what has gotten me through this week and now that it is almost the weekend my arms are practically aching for the relief. I see Regular T tomorrow. Guess I should tell her about it. Have to get her help with the safety plan too. Trying to do some self-soothing while at work. It's not working terribly well. Keep thinking about SH...ugh. Sometimes I wish I wasn't me. Hugs all, Kit

NP_Complete · Jan 24, 2020 at 02:25 PM

Quote:

Originally Posted by atisketatasket

Apparently it is National Compliment Day.

@@, you're smart and witty and I admire your perseverance.

SlumberKitty, you're sweet and kind-hearted and I admire your dedication to your job.

SlumberKitty · Jan 24, 2020 at 02:27 PM

Ugh. Getting suicidal thoughts. Literally doing nothing right now at work. There will probably be some invoices to do later, but right now there is nothing in my inbox that needs attention. I'm all caught up on everything. Nothing to distract me from these thoughts. Maybe I should text a friend or something. Probably wouldn't tell them about the thoughts, just maybe chatting with someone would help. HUGS Kit

Lemoncake · Jan 24, 2020 at 02:40 PM

Quote:

Originally Posted by ElectricManatee

Lemon, you deserved way better than what you got, and you still deserve way more now. I think it's so sweet the way you try to take care of your siblings with gifts and tickets to fun events. I hope you are able to show the same care and compassion to yourself sometimes.

Sttoooooooooooop. You guys are the cutest. I could write a meaningful post about how much you do all do mean to me even though we don't really know each other -but this quote sums it up (You've got mail) :

Quote:

The odd thing about this form of communication is that you're more likely to talk about nothing than something. But I just want to say that all this nothing has meant more to me than so many somethings.

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Couch 210: The Abundant Couch

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JaneTennison1 Magnate Member Since Aug 2014 Location: US Posts: 2,202 9 121 hugs given	Jan 24, 2020 at 10:44 AM #930 I saw regular t yesterday. I was talking about my son reassurance seeking. he gets separation anxiety. the topic went elsewhere and she brought it back. proceeding to give me advice on what i should do about it. i wanted to reply that i must have missed the part where i asked for advice on my parenting.

atisketatasket Child of a lesser god Member Since Jun 2015 Location: Tartarus Posts: 19,150 (SuperPoster!) 8 12.4k hugs given	Jan 24, 2020 at 11:39 AM #931 I cannot believe I am still stuck on this last stupid childhood emotional moment for my writing assignment. And the list is just the first question. Then I have to write. (Yes, I'm going to skip ahead when I'm done whining here.) I wonder if Info would consider this grounds for an emergency session...?

unaluna Elder Harridan x-hankster Member Since Jun 2011 Location: Milan/Michigan Posts: 39,880 (SuperPoster!) 12 66.4k hugs given	Jan 24, 2020 at 11:45 AM #932 Ha ha! Robbie the robot took over Hazel the maid's job. Now ive seen everything.

unaluna Elder Harridan x-hankster Member Since Jun 2011 Location: Milan/Michigan Posts: 39,880 (SuperPoster!) 12 66.4k hugs given	Jan 24, 2020 at 12:18 PM #935 I guess i got distracted by the 2-foot-high stack of blueberry pancakes he made for Mr. B. Im talking about things that could ACTUALLY happen.

atisketatasket Child of a lesser god Member Since Jun 2015 Location: Tartarus Posts: 19,150 (SuperPoster!) 8 12.4k hugs given	Jan 24, 2020 at 12:50 PM #936 Apparently it is National Compliment Day.