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19 Cards in this Set

  • Front
  • Back

After treatment client brings me a gift. What do I do?

Make it clear that the client does not owe me anything since he/she has already paid for therapy. The before deciding I would consider the clinical and cultural significance for the client if i accepted or declined then i would document my rational.

Your client tells you that her psychiatrist really creeps her out. What do you do?

treat this like any other issue the client brings up in therapy and be curious about it. Ask why she brought it up, if she knows she has the right to say no? If not I would build assertiveness into the treatment plan. If this does not change her feelings and it comes out later that the psychiatrist has engaged in unethical behavior i would help the client make a report to the board. I would also report to the MFT board.

Your new client has a condition you have never treated before. What do you do?

MFT's are trained as generalists and it is reasonable that there maybe conditions one is unfamiliar with. Initially I would consult to assess if this is something I can ethically treat, if not I would explain to the client that this is out of your scope and make at least 3 referrals.

A client has had major depression for most of her life. This client learns about a new supplement from a neighbor who says it has really helped his depressive symptoms. She asks you if she should take it. What do you say?

Thank her for sharing the information as it is important for me as her therapist to be aware of any therapies she is engaging in. Then I would explain that medication is outside my scope and that if she wanted more information i could make 3 refferals

A client requests a referral from you for apsychiatrist. You disagree that the client needs medication management and arehesitant to give the referral. Are you required to give your client a referral?

Regardless of my opinion, I am bound by MN Rules to provide the requested referral if I am aware of any other treatments that may benefit my client

You have worked with a client over 3 years and she hasmade much progress. Your client is stable, attends appointments regularly andpays on time. The client requests to continue therapy indefinitely as a sourceof support. How do you proceed?

explore with her other sources of support that are available and explain that ethically the therapeutic relationship must end as she has done the work with me she initially set out to do and that therapy cannot continue beyond the mental health needs of the client.

When working with a couple you realize you are no longer able to be objective/effective. You have previously received consultation around this issue and do not believe that you can work through y our lack of objectivity. How do you proceed in the best interest of your client?

after having received consultation with no resolution, I would explain to the couple that i was unable to continue the work them and provide 3 referrals. I would follow up my oral communication with a written explanation.

How can a therapist advise clients regarding whether or not to stay married/coupled?

A therapist can explore the pros and cons of each decision with the clients but ultimately the decision to stay married is up to the clients

Your client is receiving individual therapy fromanother therapist and wants couples counseling from you. When you ask theclient to sign a release she refuses, saying that you don’t need to talk to herother therapist. How do you proceed?

i would explain to the client that it is important to coordinate care between providers and that consultation with all providers is also required by our code of ethics and as such I must insist on a signed ROI (even if it is with limited disclosure). if she still declines then i could decide not to treat unless she reports misconduct by the other provider.

At your clinic you are referred clients directly fromchild protection services. On a recent case the CP worker insisted that youdiagnose a parent with Borderline Personality Disorder. The CP worker has amaster’s degree in social work and is competent to make diagnoses but youdisagree with her evaluation. How do you proceed?

Code of Ethics prohibits the paying partying from exerting any undue influence over the services and the therapist providing these services. I would let the worker know that my diagnosis will be made according to my assessments and evaluations

Several of your friends order a beer during lunch and encourage you to get one too. Knowing that youwill be returning to work after lunch, how do you proceed?

politely decline as the code prohibits LMFT to provide services while under the influence.

Define mental illness.

Mental Illness is a organic brain disorder or a clinically significant disorder of thought, mood, perception, orientation, memory or behavior that meets DSM or ICD criteria and seriously impacts a person's ability to function in activities of daily living.

What does it mean to have a significant impairment in functioning?
A pervasive pattern of thinking and behaving that is inconsistent with cultural and social norms. This pattern has a negative effect on activities of daily living across all areas of a person's life.

Define SPMI

Severe and Persistent Mental Illness

if in the past 2 yrs person has

2 or more episodes of inpatient tx

treated by a crisis team 2 or more times

continuous hospitalization exceeding 6 mths

adult dx with schizophrenia, bipolar, major depression, bpd

under commitment and was dx as a child with SED

written opinion that you are more likely to have more episodes without tx

Define children with severe emotional disturbance.

A child who meets one of thefollowing criteria:1. moderate to severeimpairment in areas of home, education, social or community functioning.2. was inpatient in the last3 years, or at risk of inpatient.3. currently in inpatient orresidential treatment.4. determined by a mental health professional thatclient has psychosis or depression, or risk of harming self or others.

A couple who you’ve seen for a long time invites youto their commitment ceremony. What do you say?

I would congratulate them and tell them I am honored by their invitation to attend their commitment ceremony. I would then tell them that I will only be able to attend in spirit because this is a professional relationship and I would want to keep it as such in case they ever wanted to come back in for therapy.

You are seeing a couple in couples therapy and thehusband is on probation. You have a release for his parole officer. What arethe limits of what you can share with the PO?

If it is the husband’s PO,than I can only release information about the husband, not about the couple system..o-para-6U

A co-worker (therapist) who is also afriend confides to you that she may have a problem with alcohol. Ste states sheis drinking I the morning before work and during lunch. What do you do?

I could discuss with her the idea of getting treatment and eliminating client contact during that time, or I could report concerns to the board, or advise her to self-report to the board and ensure that she does.

A therapist describes himself as a play therapist butis not certified as a play therapist. Can he continue to advertise himself assuch?
No. He could say that he utilizes play techniques but he can’t say that he is a play therapist support