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Dr Kirk and Bob review a case in which a counselor was sued for not following the standard regarding firearms and other issues.

00:00 Introducing the ethics case

05:20 Therapy firearm ethics & crisis plans

20:19 Treatment resistance documenting

35:16 Unexpected situations in therapy

41:00 Documenting more

1:00:47 Working as a treatment team

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July 31, 2023

The Psychology In Seattle Podcast ®

Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

Disclaimer: The content provided is for educational, informational, and entertainment purposes only. Nothing here constitutes personal or professional consultation, therapy, diagnosis, or creates a counselor-client relationship. Topics discussed may generate differing points of view. If you participate (by being a guest, submitting a question, or commenting) you must do so with the knowledge that we cannot control reactions or responses from others, which may not agree with you or feel unfair. Your participation on this site is at your own risk, accepting full responsibility for any liability or harm that may result. Anything you write here may be used for discussion or endorsement of the podcast. Opinions and views expressed by the host and guest hosts are personal views. Although, we take precautions and fact check, they should not be considered facts and the opinions may change. Opinions posted by participants (such as comments) are not those of the hosts. Readers should not rely on any information found here and should perform due diligence before taking any action. For a more extensive description of factors for you to consider, please see www.psychologyinseattle.com

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Comments

Anonymous

I'm curious about the call the husband made to the psychiatrist. Given HIPAA rules, wouldn't the psychiatrist decline to verify whether she was their patient? I assume there is some kind of exception in place for a situation like that.

SeattleTransAndNonbinary ChoralEnsemble

Another potential etiology of paranoia and agitation upon cessation of alcohol is if the drinking was an attempt to self medicate for undiagnosed bipolar disorder. Alcoholics often go through a hypomanic period called the “pink cloud” during the post withdrawal timespan where the increased feelings of confidence and invulnerability can lead to relapse, or spiral into full blown mania in people susceptible to it.

PsychologyInSeattle

Yeah, not if there's a safety concern. Also, HIPAA and the standard of care doesn't preclude clinicians from accepting information from family members. Also, the call could have been voice mail.