Question

You are a psychiatrist in session with a patient who tells you he thinks his boss at work is persecuting him. The paticnt has had mild schizophrenia. The patient asks you if you can keep a secret and then tells you that he is planning to kill his boss "when the time is right." You say. "Of course, everything you tell me during the session will always be confidential." What should you do? a. Keep the patient's session confidential but make attempts to discourage the patient from his plan. b. Inform your medical director and let him handle it. c. Inform law enforcement agencies of the threat to the patient's boss. d. Inform the patient's boss that he is in danger. e. Inform both the patient's boss as well as law enforcement of the threat.

   You are a psychiatrist in session with a patient who tells you he thinks his boss at work is persecuting him. The paticnt has had mild schizophrenia. The patient asks you if you can keep a secret and then tells you that he is planning to kill his boss "when the time is right." You say. "Of course, everything you tell me during the session will always be confidential."
What should you do?
a. Keep the patient's session confidential but make attempts to discourage the patient from his plan.
b. Inform your medical director and let him handle it.
c. Inform law enforcement agencies of the threat to the patient's boss.
d. Inform the patient's boss that he is in danger.
e. Inform both the patient's boss as well as law enforcement of the threat.
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Medical Ethics for the Boards
Medical Ethics for the Boards
Conrad Fischer 3rd Edition
Chapter 1, Problem 5 ↓

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Recognize that the patient has disclosed a serious intention to harm another person, which raises immediate concerns about safety.  Show more…

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You are a psychiatrist in session with a patient who tells you he thinks his boss at work is persecuting him. The paticnt has had mild schizophrenia. The patient asks you if you can keep a secret and then tells you that he is planning to kill his boss "when the time is right." You say. "Of course, everything you tell me during the session will always be confidential." What should you do? a. Keep the patient's session confidential but make attempts to discourage the patient from his plan. b. Inform your medical director and let him handle it. c. Inform law enforcement agencies of the threat to the patient's boss. d. Inform the patient's boss that he is in danger. e. Inform both the patient's boss as well as law enforcement of the threat.
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