A client reveals in a therapy session that he has thought about killing his neighbor and has crafted a preliminary plan for doing so. What is the therapist's obligation regarding this revelation?
A) The therapist must keep the comment confidential, because the disclosure is protected by therapist-client confidentiality.
B) The therapist must evaluate the threat and notify authorities if it meets credibility criteria.
C) The therapist must meet with an ethics committee to determine the course of action.
D) The therapist must notify authorities and the potential victim.
Ans: D
Feedback:
As a result of the Tarasoff decision, it is mandatory in most (but not all) states to report any clear threats that psychiatric clients make to harm specific people. Psychiatrists, psychotherapists, and other mental health care providers must warn authorities (if specified by law) and potential victims of possible dangerous actions of their clients, even if the clients protest.
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