Trauma – PTSD » PTSD » New Therpist, and the Law

New Therpist, and the Law

Question:

Ask your therapist if she has had any experience with PTSD.  I dont think she would go to the law, but ask her. Take care, not all therapists know what they are doing. Estelle

Response:

thanks for the info.  So far my therapist has not said anything to me about having to report it.  But i have not told her that it happened in the states i have left that out for now.  I think also since it was reopted to the canadian police that technically the lasw has been fulfiled even if the police will do nothing. Joanne (excuse my poor spelling i hurt my left arm yesterday and soi am typeing with only one hand at the moment) Cathy A. Chance, Ph.D. <cacha…@earthlink.net> wrote in message news:XOuU6.5255$c37.637014@newsread1.prod.itd.earthlink.net… – Hide quoted text — Show quoted text -> Joanne, > I don’t know your age, so let me be a bit general here. In the US, > therapists are considered "mandated reporters". That means that if we have > "reason to suspect" a child is or has been abused, we MUST report it to the > local Child Protective Services. If the abuse occurred a while ago and no > child is currently at risk of being abused, then we may not have to report. > What I do in that case is still call CPS and ask them if I need to file a > report. I do have clients who are adults now but were abused as kids. > Generally, if the perpetrator has no contact with children currently, I do > not have to report. > Other issues about reporting crimes: if you are an adult, what is reported > in therapy is confidential unless there is a current risk of harm to self or > others. For example: if a client tells me that they are going to kill > themselves and I cannot talk them into the hospital voluntarily, I will call > the police and have them pick up the person and taken to a facility on an > involuntary hold. Same goes if they state that they are going to harm > someone else. In that case, not only do I report to the police, but I must > make a "reasonable" attempt to contact the intended victim. However, if > someone reports to me that 6 months ago they killed someone, I can do > NOTHING. I cannot report that since the person is no longer in danger. I > also cannot report things such as crimes against property, fraud, etc. > I hope this clarifies things. The bottom line in limits to confidentiality, > as I see it, is the issue of current risk of harm to someone. > — > Cathy A. Chance, Ph.D. > http://www.psychadvisor.com > "Joanne Johnson" <za…@worldnet.att.net> wrote in message > news:K3XR6.60409$4f7.4568399@bgtnsc06-news.ops.worldnet.att.net… > > I don’t know about where you live, but here if a minor is raped or abused > > that all therpists are required by law to report it.  My therpist did > > mention it during my first visit.  She told me that it sounded like a > crime > > and it should be reported.  i said i had reported it in canada just didn’t > > mention the fact that it took place in seatle. > > tiny dancer <tinydancer…@hotmail.com> wrote in message > > news:nrWR6.72510$i56.21689663@typhoon.southeast.rr.com… > > > Hi Joanne, > > > I’m not totally sure about this, but therapy is confidential.   Unless > you > > > threaten someone else or threaten to hurt yourself I don’t think a > > therapist > > > is allowed to tell anything you’ve told them in a session without your > > > permission.  I’d ask that right up front to the therapist.  Tell her you > > > want to know if what you say is totally confidential.  And I don’t > > > understand about the therapist "agreeing" to see you again?  It sounds > > like > > > she’s holding you hostage or something?  Like if you say or do the wrong > > > thing she’ll dump you?  I don’t think that’s the way a therapeutic > > > relationship is supposed to be??  Maybe somebody else can shed some > light > > on > > > this, but it just sounds like her conditions are a bit strange. > > > tiny dancer

Response:

Bee <quiet…@aol.com> wrote in message

news:20010601202121.09438.00002567@ng-fx1.aol.com… > >On wednesday I go to a new therpist.  Well not really totaly new.  i saw her > >twice before christmas and then quit going cause at the time i couldn’t stop > >cutting.  But now that i have some control over it again she has agreed to > >see me. > Why do therapists refuse to see patients when they cut (or self injure)?

My therpist didn’t refuse to see me.  i just quit going cause i had promised not to cut and i had broken that promise.

Response:

I don’t know about where you live, but here if a minor is raped or abused that all therpists are required by law to report it.  My therpist did mention it during my first visit.  She told me that it sounded like a crime and it should be reported.  i said i had reported it in canada just didn’t mention the fact that it took place in seatle. tiny dancer <tinydancer…@hotmail.com> wrote in message

news:nrWR6.72510$i56.21689663@typhoon.southeast.rr.com… – Hide quoted text — Show quoted text -> Hi Joanne, > I’m not totally sure about this, but therapy is confidential.   Unless you > threaten someone else or threaten to hurt yourself I don’t think a therapist > is allowed to tell anything you’ve told them in a session without your > permission.  I’d ask that right up front to the therapist.  Tell her you > want to know if what you say is totally confidential.  And I don’t > understand about the therapist "agreeing" to see you again?  It sounds like > she’s holding you hostage or something?  Like if you say or do the wrong > thing she’ll dump you?  I don’t think that’s the way a therapeutic > relationship is supposed to be??  Maybe somebody else can shed some light on > this, but it just sounds like her conditions are a bit strange. > tiny dancer

Response:

Hi Joanne! > I don’t know about where you live, but here if a minor is raped or abused > that all therpists are required by law to report it.  My therpist did > mention it during my first visit.  She told me that it sounded like a crime > and it should be reported.  i said i had reported it in canada just didn’t > mention the fact that it took place in seatle.

I’m not sure about the statute of limitations, but there is a possibility that rape has one that is less than 10 years.  At any rate, she may have told you it sounded like a crime in order for you to be reminded that it was a crime, not an inconvenience. You might ask her what exactly she has in mind about ‘reporting’.  If she is not told the particulars of the rape but is required to pass the facts that she knows onwards, the police cannot force you to reveal them either. While I applaud your desire to keep your commitments, not seeing a therapist because you cannot keep a commitment can be a little counter-productive.  If you promise not to cut, but get an overwhelming urge to cut, then you and the therapist have to work out a system to help you when the urges start. It’s a little difficult for the therapist to help you with such a strategy if you aren’t talking to her. YMMV Smile and there will be something to smile about! Nancy

Response:

Joanne, I don’t know your age, so let me be a bit general here. In the US, therapists are considered "mandated reporters". That means that if we have "reason to suspect" a child is or has been abused, we MUST report it to the local Child Protective Services. If the abuse occurred a while ago and no child is currently at risk of being abused, then we may not have to report. What I do in that case is still call CPS and ask them if I need to file a report. I do have clients who are adults now but were abused as kids. Generally, if the perpetrator has no contact with children currently, I do not have to report. Other issues about reporting crimes: if you are an adult, what is reported in therapy is confidential unless there is a current risk of harm to self or others. For example: if a client tells me that they are going to kill themselves and I cannot talk them into the hospital voluntarily, I will call the police and have them pick up the person and taken to a facility on an involuntary hold. Same goes if they state that they are going to harm someone else. In that case, not only do I report to the police, but I must make a "reasonable" attempt to contact the intended victim. However, if someone reports to me that 6 months ago they killed someone, I can do NOTHING. I cannot report that since the person is no longer in danger. I also cannot report things such as crimes against property, fraud, etc. I hope this clarifies things. The bottom line in limits to confidentiality, as I see it, is the issue of current risk of harm to someone. — Cathy A. Chance, Ph.D. http://www.psychadvisor.com "Joanne Johnson" <za…@worldnet.att.net> wrote in message

news:K3XR6.60409$4f7.4568399@bgtnsc06-news.ops.worldnet.att.net… – Hide quoted text — Show quoted text -> I don’t know about where you live, but here if a minor is raped or abused > that all therpists are required by law to report it.  My therpist did > mention it during my first visit.  She told me that it sounded like a crime > and it should be reported.  i said i had reported it in canada just didn’t > mention the fact that it took place in seatle. > tiny dancer <tinydancer…@hotmail.com> wrote in message > news:nrWR6.72510$i56.21689663@typhoon.southeast.rr.com… > > Hi Joanne, > > I’m not totally sure about this, but therapy is confidential.   Unless you > > threaten someone else or threaten to hurt yourself I don’t think a > therapist > > is allowed to tell anything you’ve told them in a session without your > > permission.  I’d ask that right up front to the therapist.  Tell her you > > want to know if what you say is totally confidential.  And I don’t > > understand about the therapist "agreeing" to see you again?  It sounds > like > > she’s holding you hostage or something?  Like if you say or do the wrong > > thing she’ll dump you?  I don’t think that’s the way a therapeutic > > relationship is supposed to be??  Maybe somebody else can shed some light > on > > this, but it just sounds like her conditions are a bit strange. > > tiny dancer

Response:

>On wednesday I go to a new therpist.  Well not really totaly new.  i saw her >twice before christmas and then quit going cause at the time i couldn’t stop >cutting.  But now that i have some control over it again she has agreed to >see me.

Why do therapists refuse to see patients when they cut (or self injure)?

Response:

Hi Joanne, I’m not totally sure about this, but therapy is confidential.   Unless you threaten someone else or threaten to hurt yourself I don’t think a therapist is allowed to tell anything you’ve told them in a session without your permission.  I’d ask that right up front to the therapist.  Tell her you want to know if what you say is totally confidential.  And I don’t understand about the therapist "agreeing" to see you again?  It sounds like she’s holding you hostage or something?  Like if you say or do the wrong thing she’ll dump you?  I don’t think that’s the way a therapeutic relationship is supposed to be??  Maybe somebody else can shed some light on this, but it just sounds like her conditions are a bit strange. tiny dancer "Joanne Johnson" <za…@worldnet.att.net> wrote in message

news:B9VR6.60266$4f7.4553490@bgtnsc06-news.ops.worldnet.att.net… – Hide quoted text — Show quoted text -> On wednesday I go to a new therpist.  Well not really totaly new.  i saw her > twice before christmas and then quit going cause at the time i couldn’t stop > cutting.  But now that i have some control over it again she has agreed to > see me.  I go in on wednesday.  Right now I’m kind of nervous about whats > going to happen.  I’m not really sure what to expect from therapy.  My last > therpist tried to get me to talk but then i would get really overwhelmed and > space out.  She did nothing to help me.  I think part of me is scared of the > therapy.  What if i find out stuff i dont want to know.  What if she decieds > to report it to the police.  I know i reported it to the police in Canada > but now that I’m living down here I’m not sure what the law requires. That > and the fact that the actaul rape took place on US soil while we were > vacationing.  I’m not sure i could go through the police interview again. > On the first two visits I left out details of the location so I wouldn’t > have to worry about it.  But it doesn’t make sense to keep this secret. Not > that the police would do anything.  He was a minor, i was a minor and it > happened over 10 years ago now.  in canada had the police done anything tha > most he would have gotten would have been two years and it would not have > gone on his record.  The law sucks.  I think the bastard should be punished. > And what if it does go the police in the USA.  What if he does something > stupid like come after me again.  I know I’m being totaly irrational.  I > know its stupid to behave like this. > Joanne

Response:

On wednesday I go to a new therpist.  Well not really totaly new.  i saw her twice before christmas and then quit going cause at the time i couldn’t stop cutting.  But now that i have some control over it again she has agreed to see me.  I go in on wednesday.  Right now I’m kind of nervous about whats going to happen.  I’m not really sure what to expect from therapy.  My last therpist tried to get me to talk but then i would get really overwhelmed and space out.  She did nothing to help me.  I think part of me is scared of the therapy.  What if i find out stuff i dont want to know.  What if she decieds to report it to the police.  I know i reported it to the police in Canada but now that I’m living down here I’m not sure what the law requires.  That and the fact that the actaul rape took place on US soil while we were vacationing.  I’m not sure i could go through the police interview again. On the first two visits I left out details of the location so I wouldn’t have to worry about it.  But it doesn’t make sense to keep this secret.  Not that the police would do anything.  He was a minor, i was a minor and it happened over 10 years ago now.  in canada had the police done anything tha most he would have gotten would have been two years and it would not have gone on his record.  The law sucks.  I think the bastard should be punished. And what if it does go the police in the USA.  What if he does something stupid like come after me again.  I know I’m being totaly irrational.  I know its stupid to behave like this. Joanne

Response:

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