If you tell a therapist or psychiatrist that you have specific thoughts of killing someone, they are required to take such statements seriously due to their duty to ensure the safety of their patient and others. Their response may involve the following steps:
Assessment and Safety Plan: The therapist or psychiatrist will first conduct a thorough assessment to understand the nature and severity of the thoughts. They will explore the reasons behind these thoughts and evaluate potential risk factors. Based on their evaluation, they will create a safety plan to help mitigate the immediate risk.
Mandatory Reporting: Mental health professionals are mandated by law to report any imminent threats of harm to others. This means that if the therapist believes there is a serious risk of harm to a specific person or a specific individual has been targeted, they are required to inform law enforcement and potentially the person at risk.
Involuntary Hospitalization: In some cases, if the risk is considered to be severe and imminent, the therapist may initiate an involuntary hospitalization, where law enforcement may be involved in ensuring the person's safety and the safety of others. This process can vary depending on the laws and regulations in the specific jurisdiction.
Communication with Law Enforcement: The therapist will likely contact law enforcement and share the relevant information to address the potential threat. This information is crucial for law enforcement to assess the situation, protect the potential victim, and determine the appropriate course of action.
Privacy and Confidentiality: While therapists prioritize patient confidentiality, they must balance it with their duty to protect potential victims and others. In cases involving serious threats of harm, the duty to warn and protect others might outweigh patient confidentiality.
Continued Treatment: Following the reporting and intervention, the therapist will continue to work with the individual to address the underlying issues contributing to the violent thoughts. This may involve ongoing therapy, medication management, or other appropriate treatments.
It's important to remember that therapists are there to help individuals navigate difficult emotions and thoughts, and they are committed to promoting safety and well-being. If you find yourself struggling with violent or harmful thoughts, it is crucial to seek help immediately. Be open and honest with your therapist or psychiatrist so that they can provide the necessary support and intervention to keep you and others safe. Remember that seeking help is not a sign of weakness but a courageous step towards getting the support you need.