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Whether or not someone is placed on a 72-hour hold (also known as an involuntary psychiatric hold or psychiatric detention) after disclosing self-harm thoughts or behaviors to their therapist depends on several factors, including the therapist's assessment of the individual's immediate safety and the relevant laws and regulations in the specific jurisdiction.

In many countries, mental health professionals are mandated reporters, which means they are required by law to take appropriate actions to ensure the safety of their clients or others. If a therapist believes that a person is at imminent risk of harming themselves or others, they may need to take action to protect the individual's safety, which can include initiating a psychiatric hold or contacting emergency services.

The purpose of a 72-hour hold is to provide a brief period of assessment and stabilization in a psychiatric facility when there is a concern about the individual's safety. During this time, mental health professionals can evaluate the person's mental state, determine the level of risk, and develop a suitable treatment plan.

It's important to remember that the goal of a psychiatric hold is to ensure the safety and well-being of the individual, not to punish or stigmatize them. Seeking help from a therapist is crucial, and if you are struggling with self-harm or suicidal thoughts, I encourage you to discuss your feelings openly and honestly with your therapist. They are there to support you and work with you to find the most appropriate and helpful course of action.

If you are concerned about the possibility of a psychiatric hold or have specific questions about confidentiality and treatment, it's essential to discuss these concerns directly with your therapist. They can provide you with more information about their professional obligations, the relevant laws in your area, and what steps may be taken if there are safety concerns. Remember that open communication with your therapist is essential for effective treatment and support.

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