Question

If a trauma client left your office after a session in a triggered state, would you follow up with them or check in by text later to make sure they are okay? Or do you just leave them to cope until the next session?

Answer 1

I can provide some general guidance on how mental health professionals might handle situations like this.

If a trauma client leaves a therapy session in a triggered state, it's essential for mental health professionals to consider their duty of care and ethical responsibilities. The appropriate course of action may vary depending on the therapist's approach, the severity of the client's distress, and the therapist-client relationship.

Here are some steps a mental health professional might take in such a situation:

1. Assessment: During the session, the therapist should assess the client's emotional state and level of distress. If the client appears significantly distressed or triggered, the therapist may decide to address and stabilize the client's emotions before the session ends.

2. Safety Plan: The therapist and client may have established a safety plan during therapy. If so, the therapist may review the safety plan with the client and encourage them to use the coping strategies discussed.

3. Follow-up Protocol: Some therapists have specific follow-up protocols in place for clients who leave sessions in a distressed state. This might involve a phone call, email, or text to check in on the client's well-being and provide support.

4. Encourage Self-Care: The therapist may remind the client of self-care techniques to use between sessions, such as grounding exercises or breathing techniques.

5. Emergency Procedures: If the client is at risk of harm to themselves or others, the therapist may take immediate action to ensure their safety. This could involve contacting emergency services or a designated emergency contact.

6. Next Session Planning: The therapist might discuss with the client when the next session will be and reassure them that they can discuss their feelings and experiences at that time.

It's crucial for therapists to maintain clear boundaries and communicate the availability of support within the confines of the therapeutic relationship. While therapists are committed to their clients' well-being, they also need to encourage clients to develop coping skills and utilize support systems outside of therapy.

If you or someone you know is experiencing distress or a mental health crisis, it's essential to seek support from a qualified mental health professional or reach out to emergency services if necessary.