Whether or not a psychologist would end therapy with someone who had a PTSD episode in their first session would depend on various factors and the professional judgment of the psychologist. It is crucial to remember that psychologists are bound by ethical guidelines and prioritize the well-being of their clients.
In some cases, a PTSD episode in the first session might signal that the individual requires immediate and more intensive support. The psychologist may need to assess the severity of the episode and consider whether they have the appropriate expertise and resources to address the client's needs adequately.
The psychologist may choose to take the following actions:
Stabilization and crisis intervention: The psychologist might focus on helping the individual manage the immediate distress and provide support to stabilize them emotionally. This may involve referrals to specialized trauma resources or even emergency services if necessary.
Reevaluation and treatment planning: After the crisis has been addressed, the psychologist may reevaluate the client's needs and develop a more suitable treatment plan. It may involve trauma-focused therapy approaches such as Cognitive Processing Therapy (CPT) or Eye Movement Desensitization and Reprocessing (EMDR), which are evidence-based treatments for PTSD.
Collaboration with other professionals: If the psychologist feels they lack the expertise or resources to handle the client's needs adequately, they may collaborate with other professionals, such as trauma specialists or psychiatrists, to ensure the client receives the best possible care.
Regular assessment and monitoring: The psychologist may decide to continue therapy, closely monitoring the client's progress and adjusting the treatment plan as needed to address the PTSD symptoms effectively.
It is essential to remember that every situation is unique, and the decision to end or continue therapy would depend on the psychologist's assessment of the client's needs, their expertise, available resources, and ethical considerations. Ultimately, the psychologist's goal is to provide the best care possible to support the client's recovery and well-being.