Therapy Firearm Ethics
Psychology In Seattle Podcast
Kirk Honda
4.5 • 1.3K Ratings
🗓️ 31 July 2023
⏱️ 100 minutes
🧾️ Download transcript
Summary
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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.
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Transcript
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| 0:00.0 | So Bob, enough about Little House and the Prairie and the Bionic Woman, let's do a podcast |
| 0:05.8 | in which I have a really fun time reviewing an ethics case from my insurance company detailing |
| 0:14.9 | a case that involves firearms. What do you say? Let's get into it. It's definitely wasn't me involved. |
| 0:21.3 | So the client is a 35-year-old married female with two minor children, meaning kids, right? |
| 0:31.3 | Long-standing history of depression and substance use disorder for the 35-year-old woman. |
| 0:37.5 | She had participated in an inpatient treatment program for substance abuse in the past, |
| 0:43.2 | however, she continued to struggle with substance abuse. The client's psychiatric medication |
| 0:49.0 | regimen consisted of a bunch of meds basically for moods and anxiety. She was previously employed |
| 0:58.4 | as a financial analyst, but during treatment, the client was on disability, leave due to depression |
| 1:03.9 | and wasn't employed, but her husband did work. So I'm going to lay it out by month because it |
| 1:10.0 | kind of situates in time, which matters to the case. So in April of this particular year that |
| 1:15.5 | they don't list because they're leaving out identifying information. In April of this year, |
| 1:20.7 | the client began treatment with a new psychiatrist for depression, lack of motivation, and hopelessness. |
| 1:26.8 | So depression. I don't know why the client switched to new psychiatrist, but she did. On the new |
| 1:32.8 | client questionnaire that the psychiatrist administered, the client indicated she indicated that she had |
| 1:38.0 | thoughts of hurting herself in the past. Shortly after the initial psychiatric evaluation, |
| 1:44.4 | the client's husband contacted the treating psychiatrist and the husband, so the husband calls |
| 1:50.3 | or emails or something. I'm guessing it's a phone call. The husband calls a psychiatrist to report |
| 1:55.8 | new symptoms, brand new symptoms of paranoia and bizarre behavior, and an increase in alcohol, |
| 2:02.0 | consumption, and a concern that the client had guns in the home so that the family had guns in the |
| 2:08.5 | home. So this is kind of interesting because why out of nowhere, the husband would know, right, |
| 2:15.2 | about the wife's presentation and to have right after starting treatment, suddenly paranoia, |
... |
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