Trigger Warning: Video may contain sensitive topics
GUIDED MENTAL HEALTH COMMENTARY
Exhale.
This is a difficult one, not least due to the clear ethical violations by the therapist in question.
Let’s tackle this.
First, the therapist gives mixed signals.
It is extremely inappropriate as a medical professional to tell your patient that you miss them and like them, especially after an awkward confession. While he has rightly pointed out the need for a good professional relationship, his words clearly do not back it up -- he has brought his personal feelings into the picture and conversation.
The lines are starting to blur, and impartiality has gone out of the window. Second, the therapist’s mini rant. While it is perfectly normal for him to talk about his own stresses and discomfort about his job -- it is exceedingly unprofessional of him to say it in front of his client, one who has just confessed to having feelings for him.
The bedrock of any healthy therapeutic alliance is trust -- and with one unmindful rant, he may have effectively overturned all his work with her, in her recovery. The therapist may have been trying to distance himself from Eva, keeping in mind Eva’s romantic confession. In fact, the therapist might have been really stressed out.
Nonetheless, the therapist’s attempt to distance himself from Eva was done exceedingly poorly, and in some respects, unethically.
Emotional Safety Framework
The blame in this conversation lies with the therapist, no doubt. We would like to suggest too, that more can be done systematically to support the very stressful jobs of mental health professionals.
In the UK, for instance, there is an emotional safety framework for psychologists and psychiatrists, with supervisors within the system tasked with clinically overseeing their work, as well as supporting each psychologist or psychiatrist under their care emotionally, with full understanding that their daily job is an emotionally taxing one. Yes, a course is needed to learn such skills.
It may be prudent for more places to adopt this scheme, for the benefit of patients and mental health professionals alike.
Back to Eva.
No matter the context, however - trust has been broken here.
It will take a lot of effort for Eva’s next therapist to repair her confidence in the therapeutic process again.
For all our readers and viewers: we are so very, very sorry if this has ever happened to you. Please know that your recovery is and always will be paramount -- regardless of the actions of a therapist.
It is so important to continue the recovery process.
1 This is a video of Eva’s memory.
As we walk with you through Eva’s room, you will find “home” videos of Eva’s memories. Here, we have an actress playing Eva, reading out the words of excerpts of 4.48 Psychosis (a favourite text of ours).
2 Click on the label for guided mental health commentary from accredited psychologists
3 The orange keywords are linked to a compendium for more in-depth reading.
This is a difficult one, not least due to the clear ethical violations by the therapist in question.
Let’s tackle this.
It is extremely inappropriate as a medical professional to tell your patient that you miss them and like them, especially after an awkward confession. While he has rightly pointed out the need for a good professional relationship, his words clearly do not back it up -- he has brought his personal feelings into the picture and conversation.
The lines are starting to blur, and impartiality has gone out of the window.
Second, the therapist’s mini rant. While it is perfectly normal for him to talk about his own stresses and discomfort about his job -- it is exceedingly unprofessional of him to say it in front of his client, one who has just confessed to having feelings for him.
The therapist may have been trying to distance himself from Eva, keeping in mind Eva’s romantic confession. In fact, the therapist might have been really stressed out.
Nonetheless, the therapist’s attempt to distance himself from Eva was done exceedingly poorly, and in some respects, unethically.
In the UK, for instance, there is an emotional safety framework for psychologists and psychiatrists, with supervisors within the system tasked with clinically overseeing their work, as well as supporting each psychologist or psychiatrist under their care emotionally, with full understanding that their daily job is an emotionally taxing one. Yes, a course is needed to learn such skills.
It may be prudent for more places to adopt this scheme, for the benefit of patients and mental health professionals alike.
No matter the context, however - trust has been broken here.
It will take a lot of effort for Eva’s next therapist to repair her confidence in the therapeutic process again.
It is so important to continue the recovery process.