4.6 • 1.2K Ratings
🗓️ 2 May 2025
⏱️ 67 minutes
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0:00.0 | So Bob, emails what do you say? Yep. Long-term patron and anonymous clinician, she writes in and says, |
0:07.1 | Hi, Dr. Kirk and Bob, I am a new clinician in private practice, and I'm feeling just awful about a recent termination. |
0:14.5 | I won't go into detail, but basically, I no longer felt safe with a client who had a history of violence against women, |
0:22.3 | and I needed to refer him to anger management. |
0:25.8 | We had between five and ten sessions before I realized we were not a good fit due to the need for |
0:31.8 | anger management, which is not an area I specialize. |
0:35.3 | It was so hard because I could see the sad, scared boy beneath the angry, aggressive man, |
0:40.6 | and it felt terrible to miss this opportunity for possible corrective experience |
0:45.8 | being angry with a woman, me. |
0:49.2 | So just chiming in, I think she's saying he was angry and aggressive with her, |
1:06.0 | and she saw an opportunity to provide a corrective experience for him of not rejecting or matching fire with fire or something. |
1:18.3 | But it was she is basically saying out of her scope and I think also just not what she is thinking is good for him. |
1:18.6 | I don't know. |
1:22.7 | But I was too terrified to continue working with him, she says. |
1:32.7 | As a result of this, I understand more about my possible countertransference, and I will update my line of intake questioning to include more anger management. |
1:37.7 | But I'm having a hard time letting go of the guilt and regret for how it ended with the client. |
1:44.1 | How do you navigate when you are unable to provide a smooth transition to a different clinician or service. |
1:49.4 | How do you handle it when a client makes you feel physically unsafe and triggers your response, |
1:50.7 | your stress response? Thank you. |
1:52.0 | End of email. |
2:00.6 | So I'm thinking from context and description is that he was aggressive either in a particular session, |
2:03.4 | toward, you know, she says five to ten, |
... |
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