I am a therapist. 2 weeks ago my patient said he wanted to die. These guys say stuff like that all the time so I didn't do anything about it. A couple days later he stopped turning up to our appointments. He definitely killed himself. I keep feeling like it's my fault. I know it isn't but for some reason I keep thinking that. I know this story makes me seem like a bad person but you have to remember that we are looking at it with the benefit of hindsight, and as they say, hindsight is always 2020.
>>84382209Holy fuck that's too fucking fucked up
is that necessarily the worst outcome?
>>84382209it was your fault, you suck at life
I wish I could commit suicide but it would hurt my mom a crazy amount
You sure he didnt just realize he was giving a snake oil salesman a hundred bucks a week?
>>84382209You feel that way because your conscience (God) is telling you it is your fault, because it is. You heard someone in your care confess their suicidal thoughts to you, and rather than act on your duty as a mandated reporter when someone is a risk of harm to themselves, you let them die.If you have even an ounce of honour in your bones, you should commit suicide yourself.
>>84382209>I am a therapist
>>84382270It's not my fault. People say that stuff all the time and they never do it. It's not like I killed him. He did that to himself. Hindsight is 20/20. I'm not a bad person. It's just that you never think of how you're going to seem like a bad person when you're telling the story in a couple weeks.
>>84382294anonyou are a horrible person you are too retarded to be a therapist at this one And yes you killed him
>said he wanted to dieAre therapist no longer required as mandated reporters to get them evaluated and committed if they refuse treatment?
>>84382429I never mentioned anything about psych ward that obviously doesn't help unless the person is a danger to himself and everyone around him thing is it can't be helped with some people some do get fixed some don't
>>84382209>I will choose a career with no scientific base that pretends to help peopleTherapists are either retarded or evil
>>84382422You don't understand how that works at all>>84382209Shit happens man. Brush yourself off and keep going. Not your fault.
>>84382209the sad truth is how is a therapist alone supposed to save a man's life if its so bad he finds suicide reasonable. most men who get to the point of suicide are literslly down so bad its unimaginable to the comfy zoomers here. like some men straight up lose their homes, families, loved ones all at once and get flung into debt or something totally beyond their controlmy own dad committed suicide and j don't think a therapist could've saved him
>>84382482Nah some fat Karen telling your dad to go to the park would've saved him bro he just needed to touch grass
>>84382209if you let a crazy person get inside your mind, they won. did they not teach you how to defend against evil spirts in therapy school?
i'm leaning LARP on this one tbqh.>2 weeks agoand yet>A couple days later he stopped turning up to our appointments.how often were you seeing this guy...? you've had no contact since, not even from the police? what does your contract say? are you WORRIED about getting sued? have you been to supervision yet? also>patientdepends on modality etc, but i am getting the impression you not a therapist, OP.
>>84382403If I killed him they it wouldn't be called suicide. If it's self inflicted it's called killing yourself. I had no part in this.
>>84382530>I had no part in this.the biggest thing you have done wrong is feel bad about something someone else did AND tell the world you feel guilty about itthe evil spirts are ruling over your mind like a rain cloud over your head
>>84382209How do you not know? I'd always assumed that therapists/psychologists are informed whenever one of their clients kills themselves. I guess not.
>>84382530you did kill him > " I'm not gonna give you closure. You don't get that. You have to live with the shitty thing you did for the rest of your life. You have to know that it's never, ever going to be okay! "
>>84382557kill yourself you failure of a tranny
>>84382517>how often were you seeing this guy...?It used to be once a week but the weeks leading up to what he did he started nagging me about his feelings so I had to see him every Monday, Wednesday, and Thursday.>you've had no contact sinceHe just stopped turning up one day. I thought about calling the police but it just be a waste of my time since nothing would come from it.>are you WORRIED about getting sued?There's not really any grounds since it was self inflicted.>depends on modality etc,Fine, client. Is that what you want me to call it? It's just different ways of saying the same thing.>>84382541I don't feel guilty because I wasn't involved in his death. There's a small part of my mind that tells me that it's my fault but I know that it isn't true.
>>84382572I'm not a tranny>>84382579>I wasn't involved in his deathmother fucker you are literally dealing with someone with suicidal thoughts you do realize any wrong word that you may say will lead to your patience to kill himself people like that at the verge of collapsing and you not giving a slight fuck about him probably cause him to do it I fucking hate you people
>>84382579>I don't feel guilty because I wasn't involved in his death. >There's a small part of my mind that tells me that it's my fault but I know that it isn't true.that's what guilt is brodon't let his evil spirt possess you. that was the spirits goal. that is always the goal of evil.>>84382603>I'm not a trannyweird that you act like one
>>84382579It is literally required by law and your job to have people who express suicidal ideation to be involuntarily detained You did nothing. It is quite literally your fault for not doing your job. Not only that you clearly weren't effective at all in helping someone so they don't find offing themselves a reasonable action to take. Therapy is useless and people lole you having this job are good proof of how useless it is. You should lose your job and license.
>>84382629>You did nothing.This is inaccurate; he let someone die.
>>84382633the majority of people that say they will kill themselves don't do it when they was they willit's a manipulation tactic. you know this to be true tranny
>>84382633You have to understand that you don't know how you'll look when you're telling the story a couple of weeks later. You can't know what's going to happen in the future but in hindsight it's all so obvious that it'll make you look like a bad person.
>>84382579>he started nagging me about his feelings so I had to see him every Monday, Wednesday, and Thursday.i'm so sorry this happened to you.for real though, i'm a failed/stalled therapist waiting on a lawsuit settlement to come in (dupont and friends gave me nut cancer lol) to get through grad school without debt. so maybe i'd be just as jaded as you if i did that shit for a living, after all, this is just Your Job. but it's still kinda fucked, right? you're billing hours on this shit, right? insurance, out of pocket, welfare insurance. something's gotta be getting you paid, and probably at decent rates. but it's nagging? lol
>>84382675Anon, he doesn't look like a bad person. He IS a bad person. He let someone die despite hearing their cry for help. Worse, he was the person who was supposed to be there to save them.
>>84382702the bad person is the one that killed themselves so they could make someone else feel badand everyone else trying to make him feel bad
>>84382721Good thing we both know we're not actually on the internet and this whole story probably has no basis in reality then
>>84382758every story is realespecially if it affects youthe mind is a battlefield
>>84382702If I was a bad person I would have killed him myself. Do you know how many people say to me that they want to die or that they want to kill themselves and they never do it? If anyone other than him should take the blame for his death, it should be my others patients who have poisoned the well. I know to trust my intuition.
>>84382209>I am a therapist. 2 weeks ago my patient said he wanted to die.Make sure they pay everything they owe you when they start talking like that or you'll lose money
BITCH UP IT
>>84382294>>84382209>patient openly claims to want to kill himself as a plea for help>you ignore it>patient kills himself>"IT ISNT MY FAULT WAH WAH"eat a gun, immediately
>>84382209most empathetic therapist
>>84382900In Canada they just tell you to kill yourself
>>84382855save the planet and kill yourselfno reason for you to do death by cop or guilt a therapist
>>84382926that was almost coherent. try again, faggot
>>84382929learn english not my problem
>>84382936sure thing, esl. whatever you say, retard
>>84382942>no uuuuu!for some reason you think you're smart
>>84382209You are a servant of Israel. Your purpose is to redirect mens anger to the government somewhere else. How do you feel about that, zogbot?
>>84382294>they say that all the timeAnd you should do something about it every time
>>84382481>You don't understand how that works at allI actually do since I used to work in a psychiatric facility.
>>84382960not his fault that people that say they are going to kill themselves only do it when they think they can hurt the most people
That's not how it works. You will be investigated since by law you are required to keep notes on all interactions with your patient. Once they find out you didn't do anything about this you will be in trouble. But you're not a real therapist and you're just larping so...
>>84382972law =/= morals
>>84382209why dont you ask the police to check on him retard or do it yourself you dont actually care fuck off
>>84382964>I actually doAs a janitor, perhaps? Expressing a desire to kill yourself does not require evaluation or involuntary commitment. Depressed people express that desire daily. Do you think every depressed person who sees a shrink is getting held for evaluation? Use your brain anon.
>>84382209Why are therapists/psychiatrists so effective at getting people to commit an hero?
>>84383006For the same reason hospitals are so effective at offing cancer patients
well, then you suck as a therapist man. shit happens. people like you are the reason therapy is treated as a fucking joke. hindsight doesn't mean you couldn't do anything about it with the knowledge you had at that very moment.
>>84382989>janitorSocial Worker who has done these evaluations.>Expressing a desire to kill yourselfEnough to evaluate. It requires the provider to evaluate intent, plans, fathomability, risk,etc. >Depressed people express that desire daily.Almost all do not.>Do you think every depressed person who sees a shrink is getting held for evaluation?Onlyif they express the desiret o do so. That is enough by law to hold the person for evaluation.>Use your brain anon.I do, and it's telling me you are not a therapist. All therapists are trained to be report this, as I was.
>>84383095>Enough to evaluateYou clearly don't understand the guidelines. "I want to kill myself" does not trigger anything. "I am going to kill myself tomorrow" does. OP's patient saying they wanted to die was not a red flag.>Almost all do notHave you never met a depressed person or are you so shit at your job that you don't feel comfortable enough to talk frankly with you?>That is enough by law to hold the person for evaluation.No psychiatric professional will ever hold someone for saying "I want to kill myself">All therapists are trained to be report this, as I was.They're trained to use common sense which you clearly lack
>>84382949not that anon, but are you the therapist that kilt the depressed dude or are you just a random anon whos playing defense for him?
>>84382855It's not OP's fault if someone else kills themselves. People have agency. They should have reported it but that more than likely would have done nothing either.
>>84383118Yes, I do know guidelines. It's why I know it's a larp. I was trained in this, just like all who work in mental health. Giving a date just adds more since it adds specificity which increases the odds of gling through with it.Yes, I met thousands. Maybe 30 at most ever expressed a desire to die. After my evaluation, i referred for evaluation from another psychologist to see if they're grounds for committment. All but one have filled that criteria. As a therapist, you err on the side of caution. You can be held liable if they do attempt and you didn't report.Gaining rapport is the most essential skill the job. One of which you are shit at. If you had common sense, you'd know that.This is why I always tell robots here to never say you want to die. Other anoms have reported back that is all what they said and had a 72 hour hold on them fkr evaluation. After 72 hours, almost all desires leave and they're released ans not committed.
ive been reading your comments and being a curious person, i started reading some protocols on how to deal with suicidal patients. apparently, there is a difference between suicidal ideation and a suicidal threat. "i want to kill myself" is clearly an ideation at best, but wouldn't you like to do an assessment on the situation first? like, digging deeper to see if there is intent? check if the person is in the right state of mind? how or why isnt this mentioned in the OP? if a person says they want to kill themselves to a person that works in mental healthcare, isn't that enough of a cry for help? i think common sense would have saved a life, protocol or not
>>84382209>I keep feeling like it's my fault. I know it isn't but for some reason I keep thinking that. IT IS YOUR FAULT.You took advantage of someone as a career and now they're dead because of (You)
>>84383196Kill yourself if you're actually a therapist, it's the only way you'll actually help your patients.
>>84383196OP is a larp but so are you. If there's no imminence to the threat then there's no legal grounds for a hold. Saying "I want to die" does not constitute grounds for a hold. You're so retarded. If only 30 of "thousands" of people have expressed a desire to die then you must not be treating actual depressed people. Like really? 0.3% of your patients? Normie non-depressed people express a desire to die more often than that. Go read the fucking law you retard. If you're holding people for that you're in violation of it.
>>84382209What do people even pay you for
>>84383249Saying they want to die implies intent in this field. Them giving specifics just means it's more likely. Just expressing is a risk since many suicides are spontaneous and out of the blue even if they did not give a date, time, or method. It is why it should be reported for further evaluation. Most likely, they're just having a hard time coping with something and just need time. But it should still need further evaluation. Most likely, what will happen is the evaluating psychologist will find they're not really a threat tp themselves and releaze them.>>84383292>Go read the fucking law you retard. If you're holding people for that you're in violation of it.If it was I would have been fired a long time ago. I have not, nor do I have any violations. I'm required to read the law and was tested on it for my social work license. Hence, why I know what the hell I'm talking about as otber anons who didn't takem y advice to never say they want to die.
>>84383317>Saying they want to die implies intent in this fieldNo it fucking doesn't. "I want to die" = normal expression of emotion. "I want to die and I'm doing it tonight with pills" = involuntary hold. Fucking retard. >Just expressing is a risk since many suicides are spontaneousStop larping. That is not standard of care. You have no legal duty to hold someone for expressing a desire to die. You actually are not legally allowed to do so. You are falsely imprisoning them holy shit. >If it was I would have been fired a long time agoYou are not a therapist>I'm required to read the law and was tested on it for my social work licenseYou are not a therapist>to never say they want to dieYou can not be held for saying "I want to die". There are actual requirements for this. It has been litigated and codified. You are larping.
>>84383317>Saying they want to die implies intent in this field.does it? okay, i didn't know that. it's just that saying "i want to do (whatever)" doesn't really mean you will do it anytime soon, so that's why i was kinda wondering if further assessment was needed>But it should still need further evaluation.i see>>84383343>You have no legal duty to hold someone for expressing a desire to die.am i misreading something? why would further assessment mean they're going to hold them in a place or imprisoning them? don't you go through evaluation to see if you need psychiatric treatment first? pills or something?>It has been litigated and codified.can any of you drop a source please, i'm interested and all i find is protocols that say you need to go though several stages before getting imprisoned or whatever
>>84383343Yes, it does. If it wasn't the state law here would be broken.and a lot of psychologist throughout the entire state would have lost their licenses. A lawyer would pick up on that in a second and get rich from it. They haven't. You are talking out of yoyr ass. I am not holding them: they are reported. You are twisting my words now. >not a therapistMy job is assessment and referral. I also do supportive counseling and I'm only a word away to get started on my supervision for my LICSW. All I have to do is say the word to start it.
>>84383373>why would further assessment mean they're going to hold them in a place or imprisoning them?They said 29/30 people who expressed a desire to die were then held involuntarily. Not only that, they referred all 30 of those people to another therapist for eval (why???). This person is lying and has no idea what the standard of care is at all. You can tell a therapist that you want to die. You will not be punished. You should, in fact, tell your therapist if you want to die so they can work with you on getting better. >can any of you drop a source pleaseIt's not a federal law so you need to look up your state's law. Google something like "[state] involuntary commitment law". If you're in Florida it's the Baker Act and the relevant portion is"There is a substantial likelihood that without care or treatment the person will cause serious bodily harm to himself or herself or others in the near future, as evidenced by recent behavior"Saying "I want to die" does not fulfill that criteria. >>84383394>I am not holding themYou said 29/30 were held. You said you referred them to another psychologist. If you're a therapist you don't need to do that. You can just hold them if necessary. Your story makes no sense. Patients can say they want to die without being punished. You're fucking with people's lives for no good reason. >>84383394>My job is assessment and referralSo not a therapist then. Didn't you claim to be one earlier? >All I have to do is say the word to start it.Yeah sure buddy
>>84383414>You said 29/30 were heldYes, of the thousands. >therapistI have never said I was. I said I was a social.worker.They're not being punished. They just got a temporary hold for evaluation. Want to know how much time it takes? On average 30 minutes. A psychologist can quickly come in, talk to them, and in almost all cases, the psychologist will not find reason. >Yeah sure buddyAll it requires is a MS and my social.work license. All it is is an additional credential to give professional counseling (aka therapy.)
>>84383373Here's a case where someone was held involuntarilyhttps://law.justia.com/cases/california/court-of-appeal/3d/144/283.htmlShe had attempted suicide and was high as fuck. >>84383394Do you see the difference between "bleeding slashed wrists and high on drugs" vs someone saying "I want to die"? If you're real I hope you lose your license. >>84383450>Yes, of the thousands.You said only 30 expressed a desire to die and of those nearly all were held. Passive ideation is common in depressed people like 10-30% or something along those lines. >I said I was a social.workerActually I misread, but my points stand.>They're not being punishedThey are and that's how they'll feel and that's why involuntary holds are so uncommon. It destroys the trust between patient and doctor.>On average 30 minutesIt's still a hold and is still not done for "I want to die">nd in almost all cases, the psychologist will not find reasonYou said in 29/30 of your cases the reason was found you fucking liar>therapyYou should never be allowed near a mentally ill person again.
>>84383489>If you're real I hope you lose your license. I am, and if what you say is true, I would have lost it over a decade ago. All I do is the initial assessment and the eval is really a quick questionaire.It does erode the trust, and why they have to be careful. >should never be allowed near a mentally ill person again.I get it now. You were one of the ones did express it and were committed. You are mad because of it. You had me for awhile until you said this. The only ones who do say this are the ones who have. Okie dokie, anon. Since now I know the rype I'm talking to, there's no reason to talk further as it'd be wasted time.As a wsrning to all robots: do not ever say you want to die. Ever.
>>84383531>if what you say is trueFucking look it up, if it's not true then cite the law showing otherwise. >You were one of the ones did express it and were committedI've told every therapist I've spoken to that I want to die and have never once been committed. Probably because I go to competent therapists. >do not ever say you want to die. Ever.Why are you trying to prevent robots from getting proper medical care? You are evil.