Well, I just checked my messages from the weekend this morning, and I apparently received a somewhat frantic phone message from my new patient on Saturday night. He seemed extremely agitated and began confessing all manner of crimes which it seems impossible to me that he has actually committed. His tone and casual attitude towards violence was disturbing, but I believe something in his psyche was released that led to this outrushing of opinion and constructed narrative. This would seem to be borne out by a follow up message he left the next morning claiming he was drunk and was unsure what he might have said to me over the phone. I have not yet decided what to do with this new development. I do of course want to help him if possible, but based on the graphic nature of his discourse, I may need to recommend him to the police for further evaluation.
In the meantime, I think I’ll keep the messages as evidence and switch to a new number. I will update when I decide what else to do.
Wysp says:
This could be problematic. How much can you tell us?
(Also, I would look into finding a place to head to in the event you get threatening visits. I know a guy who was getting threatening letters who almost snapped before he found somewhere safe to hide. Considering his previous expressions of comfort with violence, combined with this, it’s not hard to imagine him offing you to cover this (or any subsequent) incident up.)
MindsAndMatters says:
Hi Wysp, thanks for your concern. As I explained in my new post, I really think continuing treatment is the right approach based on his attitude today. But thanks for the advice! I’ll keep it in mind.