denverdoc
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What a great thread, welcome to the conflicting issues I deal with.
Rank the following 10 priorities:
1) I don't get sued
2) The duty to warn, if someone expresses violent thoughts toward another I have the duty to find this person and warn him/her
3) The duty to protect the person seeking my services from self harm
4) The absolute sacred obligation to maintain confidentiality which if breached can have small or devastating negative consequences, but also can be life saving.
5) to be an advocate for those who have a stigmatic but biological illness
6) to be ever vigilant re ulterior motives in seeking help, sometimes for legal reasons, for others to maintain an addiction, or just to get probation officer, spouse, parent off his/her case and has no genuine interest in treatment
7) To differentiate the occasional case of someones coping skills being temporarily overloaded, vs more serious longshanding issue
8) To sift through what the patient tells you and what is real, and often not black and white. Sometimes little insight, sometimes denial, confabulation, you name it.
9) Along the lines of 8, to differentiate situations where patient has illness and chooses not to take meds, vs medication failure, vs feigned illness.
10) To forecast disability, danger, etc to a courts satisfaction
Etc, etc.
I'm thinking rocket science is easier. At least they have equations!
Rank the following 10 priorities:
1) I don't get sued
2) The duty to warn, if someone expresses violent thoughts toward another I have the duty to find this person and warn him/her
3) The duty to protect the person seeking my services from self harm
4) The absolute sacred obligation to maintain confidentiality which if breached can have small or devastating negative consequences, but also can be life saving.
5) to be an advocate for those who have a stigmatic but biological illness
6) to be ever vigilant re ulterior motives in seeking help, sometimes for legal reasons, for others to maintain an addiction, or just to get probation officer, spouse, parent off his/her case and has no genuine interest in treatment
7) To differentiate the occasional case of someones coping skills being temporarily overloaded, vs more serious longshanding issue
8) To sift through what the patient tells you and what is real, and often not black and white. Sometimes little insight, sometimes denial, confabulation, you name it.
9) Along the lines of 8, to differentiate situations where patient has illness and chooses not to take meds, vs medication failure, vs feigned illness.
10) To forecast disability, danger, etc to a courts satisfaction
Etc, etc.
I'm thinking rocket science is easier. At least they have equations!