This video features a counseling role-play session that demonstrates assessment of a client (played by an actress) expressing suicidal ideation, intent, and plan.
I dont mean to be offtopic but does anyone know of a trick to get back into an instagram account..? I was dumb forgot the login password. I would appreciate any tips you can give me
I definitely agree. The counselor also kept pointing out the positives to situations that the client had experienced, such as the positive experiences or outcomes of being in the hospital.
I liked how Dr. Grande didn't jump to conclusions and allowed the client to tell her story. The client beginning with saying she was "fine," Dr. Grande probed and confronted the incongruities. It comes to show that patience is key to therapy.
patience, but also doing something. my therapist just sat on her fat stupid ass and listened the whole time, collecting fat checks, while completely neglecting obvious things should could help me with, and just not caring, given the way she prioritized things.
Whenever I start thinking that my family would be better off without me I come and watch this video. It reminds me that my family wants me around and would be devastated if I ended my life. This video helps me hold on another day. Thank you, Dr. Grande.
In my case it’s the opposite. It’s actually a sister from hell gaslighting me constantly and ostracizing me from the rest of the family for the last 20 years that has made me want to exit the planet. She turned everyone against me FOR NO REAL REASON and I’ve only ❤️loved❤️all of them. But heir hearts have become hardened now and I’m sure no tears will be shed when Im gone. I will be glad to leave this world. I’m sure no one’s life review will be perfect but I’d like to see hers (to see her reasoning for what she did to me.) I feel like that long lost dog looking for its owner for years. Waiting for their face, their touch, their smile. And then I see them and they just walk on by. That’s how I feel every single day. 💔😔🙏💔😔🙏💔😔🙏💔😔🙏
Some of you are saying this isn't accurate, but I found this to be extremely accurate. I've been in that woman's position several times, and it reminds me a lot of my own experience.
As soon as she said she was doing fine i knew she found relief in having a plan. People who are tortured by depression seek to find escape and suicidal route is the easiest. That's about the mount of energy they have needed to unstuck from the state they are in. Then it's essential that they are prevented and directed to activities that insipre some vision of future success. Like playing an instrument.. writing.. photography.. anything that helps them feel useful which happens they also enjoy.. a motivation. I'm not an expert, it's purely my opinion and i have lots of opinions i give just for inspiration, doesnt mean they work for everybody.. I was surprised to hear that the acting client came forward with her confession.. it really takes unlimited trust in the confidant to open up like that.. i would never expect it to happen but i see now how that is possible Awesome video!
If they felt like playing music or doing art or photography, they wouldn’t be depressed. You can’t just do an activity to get yourself out of depression. It’s a very real problem and many times it’s brought on by spiritual warfare which this doctor doesn’t address.
This video depicts a suicidal client well. Most client's are not this open and direct. She seems too calm and comfortable with her decision and most clients do not present in such a way. Please be mindful this is for exposure for educational purposes and most clients will need much prompting to ensure their safety.
She's acting they can't use the actual client. However, if the client consent to the video and fog their face it would be a great idea to use a real client.
actually the more serious suicidal clients are pretty chill and honest. if they have a good connection with their therapist they will be pretty transparent about their plans. Almost nonchalant about it. Check on your quiet friends.
The calm and content demeanor is often a sign that someone is serious about their "solution." When I considered going through with it and developed a plan, I felt an immense sense of calm in the days leading up to it. I've told my therapist before that I had a plan. I wasn't as forthcoming, but the calm demeanor is extremely accurate. Saying that "most clients do not present in such a way" when referring to calmness is simply not true.
Dr. Grande was as patient as possible while making it very clear that he did not agree with her plan. He allowed her to come to her conclusion when possible, but was appropriately directive when telling her that he needs to help keep her safe.
the therapist's comment, "The note you'll write doesn't soften the blow for your family. It actually gives them another artifact to be sad over." was impactful and a perspective worth sharing. Thank you so much. P.S. The decor is so dated can we update this video?
It was good to see how Dr. Grande picked up on how her mood was different then usual and asked for her solution. It was interesting how Dr. Grande stayed calm during the session and remained asking probing questions such as what she needed to get in order. I thought it was interesting how Dr. Grande told his client that he was going to actively try to stop her. I liked how Dr. Grande told his client that consequences to her actions, how it’s not the answer, and how it would affect her family even if she left a note.
Dr Grande you are a breath of fresh air with your excellent way of judging things in previous videos and seeing you be so rational in theses videos is incredible. Wow
This reminded me of the importance of not misinterpreting a client's sudden positivity or elevated mood. I like that Dr. Grande remained calm and continued to ask questions rather than just react without getting as much information from the client as possible. When I began the video, I was hopeful that she would play a client who is NOT willing to go to the hospital so I liked that she showed some frustration by Dr. Grande's insistence and gave him some resistance so we could see an example of how to handle that. I also liked that he heavily focused on her impact on her family and the pain that would accompany her killing herself. "Another artifact that they can agonize over" agonize for the rest of their lives because they lost you, special kind of horrible agony - I know you don't want that.
+Kimberly Kelly I agree it is vitally important to not misinterpret the clients sudden positive mood and see it as they are getting better but question the mood change.
Therapist "Anything that could stop you?" Pacient "Dunno... probably free counceling?" Therapist "...I'll be praying for you" (Hopes nobody gets offended, but that was a conversation that I had inside my head for some years 😂)
I am very impressed at the ability to catch it at this stage- this is the hardest thing to do. It's easy to miss- the person feels better. I need to watch the video several times, to fully understand this in a way that is transferable to other situations. I lost a friend who I interacted with when she was in this stage. She was feeling better. She was happy. I didn't realize that this was what was going on. She killed herself the next day. Yes, even years later, the friends think about it and think, if only I had....
Being able to see this last video discussing her desire to take her own life with the ideation, intent, and plan was helpful. It was grim when she compared her suicide to taking a weekend trip as long as the weather was right. This is a sick way to relate suicide, but I am positive this is how people with the motive, plan, and opportunity to carry out suicide may think.
+Jessica Muzzin I like how he continued to get the client's input into going to the hospital. Even after she had discussed her feelings about not going and she had already made up her mind. He continued to try to help her come to terms for seeking help.
In this video, I like how he talked to her about the two sides of her. The one that wants to die and the one that wants to be stopped. I was also really impressed with how Dr. Grande, just brought up that fact that she knew what telling him would meant he would do. He didn't dance around the subject. I also liked how he reminded her of what her family had said about losing her.
+Mandy Moore I agree, I think as a counselor it is very important to be honest and straight forward with a client letting them know of the precautions we as counselors must take to protect our clients.
+Mandy Moore Agreed. This topic always worries me when I think about how I would handle future clients who experience similar issues. But this video is helpful in demonstrating how to react to suicidal thoughts and plans.
For sure. My daughter's friend killed himself. We all felt and still feel guilt. We kept thinking how we could have and should have done more. We all felt life we let him down, hadn't done what we could to help. It was horrible watching his mother at the funeral. We all kept wanting him for him to come back alive. I'm glad both of you are not killing yourselves for others, but take it a step further, stay and work on your well being. You deserve to feel better.
I think Dr. Grande handles this so well. He is so comforting even in the face of refusing to honor her desire that he leave it be. I also like the way he explains the impact of suicide on others and how responsible they feel.
I like how right from the start, dr. Grande noticed and acknowledged her feelings by her facial expression. As to the session, I was wondering if patients with suicide intents are always straight forward with their intentions like she was in this session. I like how Dr. Grande explained how her family will feel guilty rather than the normal loss of a loved one, if someone committed suicide. I also like how he calmly informed her of his obligation report her in order to get her the help she needed. Great session just seemed easy.
Vida Adansi. They aren't always strate forward about the fact that they want to commit suicide a lot of teenagers try to hide it but if u get to know them and let them trust u on there own then usually they will tell u
At first, I was somewhat confused by the client's calm demeanor but quickly realized the severity of her suicidal ideation, plan, and intent. I thought it was helpful to observe Dr. Grande as he remained calm, which appears necessary as an appropriate reaction to the client.
Dr. Grande, I know this is an old video and I doubt you'll see this comment, but I wonder if there is any way to address part of the content of this video in the current 2019 format. Specifically around the guilt and blame felt by the loved ones of a person who has ended their life. I wonder about the long-term consequences, especially for someone who might have good reasons to believe they neglectfully or selfishly helped to put the person into the position to end their life. Perhaps red flags were ignored. It seems like if a person truly believed their specific actions logically contributed to the suicide of a loved one, it would affect them in many ways over a long time. I'd be very much interested to hear what you and the literature have to say about the topic. And I suppose the best way to have this addressed is to bury the question in a 3-year-old comment thread ;)
The way he was speaking made her feel comfortable and the time they were talking . She was direct because she had a feeling she didn’t want to deep down
@@killuasenko1553 Also, they had more than a year of therapy, so at this time she would be way more confident to talk to him, and see him as an important person that she should warn
Actually, the two truly depressed & suicidal people I’ve been close to my whole life have talked about it pretty frankly to me like this. They might torture themselves with deep thought and suffer a lot on their own but there are times when talking to another person that they can be pretty blunt & casual sounding about it.
I think a truly suicidal person would not tell anyone of their plans. As someone with 32 years of chronic depression, I should have the right to end my life and I wished we live in a society where euthanasia was legal.
+Dustin MacDonald When you say people talk about it before attempts, it's, from experience, subtle clues, symbolic gestures, etc...not so much explicit. Explicit talk tends to come from those who have some experience with being in therapy or have made previous attempts. As an experiment I made several references to suicidal ideas over a three week period...totally missed by everyone. So, the problem is two-fold, people don't speak clearly about their suicidal intentions and people ignore the message.
***** I've stated it several times in my life. I must admit to being surprised when people feel shocked. I guess it's because I just assume everyone feels this horrible about life. I know eventually I will kill myself. I'm just waiting for a few things to happen and I will go then. I'm bored, fed up, living is simply an aimless, painful experience and I am getting too old to change anything now. I've basically lived my whole life for other people and death feels like a vacation or retirement for me. I don't get why this should surprise or shock or offend people. Why people need to stop me or change my mind. I would get it if I was in my 20s or 30s but I am now in my 50s. I'm ok with this.
Suicide doesn't take away your pain, it just passes it on to someone else. I heard that a few years ago and it really gave me some perspective. I know it sounds cliche but it really does get better. It took me a lot of years and a very deep dark rock bottom but you CAN get better.
This video showed how to work with a client who had to be hospitalized. Dr. Grande collaborated with the client and listened to her as opposed to just hospitalizing her right from the start. It seemed that she felt understood in this difficult time.
I also liked how he tried to collaborate with her and get her to willingly go to the hospital. It's important to try to maintain the relationship while remaining firm in his duty to protect her. I think she'd be more likely to return to see him when she is released as a result.
My PTSD Flags would have been thrown up and The barred exit would lead to great amounts of anxiety and irritability. Being trapped by my therapist would be grounds for terminating therapy with that particular therapist.
IMO, if an adult wants to commit suicide, he/she should have that choice w/o some forced intervention to stop their suicide intent. People commit suicide because they are so miserable that they can't bear it. Saying "suicide is so selfish" is selfish to say.
Usually, the suicidal thinking is transient. If you can change their mind during that time frame, or protect them during their difficult time, it can pass.
An adult that wants to commit suicide and does not consider it selfish is in dire need of education about what suicide actually means and what suicide does to the people left behind, but most importantly what suicide does to themselves.
Dhanh Mehti What you're saying is, "don't commit suicide because it will hurt ME." Well, that's selfish cause all you're thinking about is yourself. Why don't you consider the person who is suffering from depression and simply wants to end their misery??? The moral thing to do is say, "I understand... I wish you wouldn't but it's OK... do what you feel is best."
All I am saying is when one is committing suicide that person is hurting themselves first and then the others. Would you like to hurt for eternity? I didn't think so. The depressed person does not want either, so suicide is not a solution.
This was a good demonstration. The counselor was direct and informed the client about his duty to keep her safe. Also, I found it interesting that the client stayed in session after hearing that the counselor will have to act now that he has been informed about her plan to commit suicide.
After experiencing and professionally studying traumatic bereavement, I would argue that deaths from car accidents do cause struggles with guilt and blame, especially if the kinship is someone that a person feels responsible for. But, he did say “usually”. Thanks you still.
As someone who has dealt with this if you do this you are seeking someone to talk you out of it. I lost my job and I’m getting evicted and I have substance abuse issues as a way to cope from the suffering. I’m admitting myself in a few days. I’ve never had this long of a non-chalant talk. I know how to do it and know what I need to do but I have a fear I’ll just be reincarnated back here , I have no problem in not existing but I am self aware enough too know that isn’t a healthy mentality and my life is already shit so a psych ward is really any much better or worse but atleast my family knows where I am at.
Dr. Grande staying calm while the client bluntly stated that she was no longer contemplating suicide but decided that she was going to was powerful to me because I don;'t know if I could remain that calm. The client described her plan, how it will affect others, and what to do with her possessions which are all giant red flags for a suicide attempt. Dr. Grande successfully probed about what the depression was about and that he would attempt to stop her.
I thought it was interesting that Dr. Grande pointed out that even though the client wanted to kill herself that she came into therapy. I also thought it was interesting that when a person commits suicide the the family and friends feel responsible.
I really liked this video, it is great to be able to see examples of sessions for suicide. I find that viewing these role plays are very helpful to me.
So there is basically no end to an ever-ending suffering, torturous existance because even when left to our own devices we confess so we someone stops us from doing it and scare us. Great. Awesome life. Can't wait to wake up every morning and go through it again.
I deserve to not live with a permanent disability. that's never going to happen. I will always be a burden on other people forever. I certainly don't want that to happen.
This was really good to watch. In my mind if a client had the ideation, intent, and plan I would have to stop them right there and call the authorities or EMS to take them to a facility to get help. This role play shows that a counselor is still able to speak with the client about the situation and try to come up with a joint plan to where the client still has input and say in the matter instead of it just being the counselor's decision. This video will need to be revisited again to make sure the depth of this meeting holds so it can be used in the future.
A lot of people don't admit they're going to do it. So it's a big cry for help. I watched something recently of a husband not realising his wife was planning suicide. She'd been depressed and unwell for a while and this one particular week she was so happy and organised. He just thought she was feeling better. She wasnt. It was because she'd planned on the suicide and the weight was lifted off her. He still feels awful that he didn't pick up on that change being correlated with her suicide. 😢
I feel like nobody would just come out and say it bluntly like that. Any intelligent person knows that he’s going to have to report that and get her a higher level of help and if someone is truly wanting to leave... they wouldn’t want that and so would keep it quiet.
Dr. Grande is really persistant about getting her to go to the hospital willingly. He could have her admitted against her will but he pushes for her to consent to it.
+Alicia Zahn I really liked how he did that. Having someone unwillfully commited can hurt the client even though it saves them from herself, but having their consent makes the situation more comfortable for the client
This video in accordance to the others associated with it gives another great example of how to conduct suicide ideation sessions under different circumstances.
Some years ago, I almost took my own life. I was abused when I was a kid, broken, depressed, anorexic, bulimic, self-harming. suicidal. My biological father choked me and chased me with the lawnmower as if her was gonna run me over, I went in & out of psychiatric units like it was a game of Chess. Suicide watch. I was on enough Antidepressants to kill a horse since i was 12. I hated myself. I wanted out. I wanted the pain to stop. The abuse to end I wanted power. I got into witchcraft. I thought it would give me the identity i wanted, to be set apart from people who hurt me. It only made me sicker. Sicker. Thats what it did to me. The doctors said i’d never get well. That i would suffer severe Chronic Manic depression, and never be well, that id be stuck on antidepressants all of my life. I would plot suicide on a daily basis, binging and purging my food as often as opening and closing a door. The pain was too real. People choked me. Assaulted me. Told me i was ugly, told me to apologize to him for every year i was alive. i felt worthless. Nothing ever got better. Then my mother died. The (1) & only soul who ever loved /emotionally supported me was removed from the earth. I was stuck living with people who broke me, ruined my identity, thus causing me to hate God. I thought God hated me, that he was just like the ones who tortured me, a family of abusers, who cover up all their actions with the mask of religion. I didnt know that God is on my side. I didnt know that Jesus would Love and Defend me, and fight for me and that He later would heal me, rescue me from Family. The ones who caused me pain. The ones who choked me for wearing a pagan necklace. I moved out after family threatened to throw all my belongings on the front yard, and have me permanently institutionalized in an insane asylum, when they were the ones who caused my mental illness via abuse. They blamed me for the abuse they did to me. To take my life in a psychiatric unit aka insane asylum when they were the ones who made me suicidal. Next morning i moved in with my dead mom’s parents. I stayed on the antidepressants, prescribed. But they only made me sicker. I got deeper and deeper into witchcraft, thinking it was a solution. But it made me even more suicidal. Self hatred was inescapable. All my cards have fallen down. I have nothing left. But out. I wanted out. I decided i was going to kill myself. I was going to take all my pills. But then Jesus stepped in. I didnt die. I surrendered my life to Jesus to make me well and heal me. The deity i blamed for me being abused wanted to heal me. He Was fighting for me and Loved me all along. He wanted to love me. He wanted to give me a new heart. His Heart. Jesus miraculously healed me - i am off all the drugs and dont need them and i dont have any mental illnesses. I am totally healed , full of joy. I’m now a born again Christian. I want ALL y’all to know that JESUS IS ON YOUR SIDE HE’s FIGHTING FOR you. Don’t believe me? Just WATCH WHAT HE WILL DO FOR YOU NEXT
The only thing I think missing in this role play is empathy ... there’s not a much (if any) comfort given to the patient from what I see. Is there any reason for this?
I would honestly prefer the understated empathy and a realistic conversation as opposed to overly emotional reaponse that you know ia fake or exaggerated.
I think his nonjudgmental attitude and acceptance of her feelings is empathy. He’s gentle with her and it’s obvious that she trusts him. It’s just not an effusive empathy which could feel overwhelming to her right now.
I was surprised that the client was so forthright about her intention. Was wondering if this is typical? Can see how the established relationship helped in this situation. The therapist was able to see that her change in demeanor was a concern.
I work in psychiatric care Bro. Stop with the guilt approach. .. doesn't work.. it just makes them pull away ... and makes them feel worse. Just be a sounding board. .. open ended questions. .. what is the worst thing they could do. So they can hear themselves.
I would not have put her in hospital. She is ambivalent enough to not warrant it. I would perhaps increase sessions for a time but that would be enough. The fact that she has been in hospital several times before is more worrying as it suggests that there is an increased dependency on the counsellor and hospital. It can bring on repeated suicidal ideation and behaviours because there is an emotional gain from it... attention, comfort, letting go of the burden of personal responsibility and effort. It sets people to become revolving door patients... hospitals should be used as absolute last resort where there is no ambivalence.
but she wants to kil herself within a few days and i think that doing sessions wont work as she will be dead before she goes to her second one, i think keeping her in a secure environment with professionals keeping an eye on her will lower the chances of her doing her suicide.
crai g Because someone states they want to kill themselves doesn't mean they will, even with plans. It can be diffused without putting someone into hospital which sets up a pattern of going from crisis to crisis. She is reacting to being overwhelmed and suicidal thinking is a calming thought, a way of controlling the uncontrollable. Someone who is truly going to kill themselves won't talk about it, they may give hints weeks or days ahead but when its time, they go silent. In this clip, getting her to agree to take away the temptations, involving her family and adding sessions on would be enough to diffuse her need to escape the overwhelming feelings through suicide. If she continued talking about it, or gave other indicators like self harm or preparing, then going silent about it, then yes put her into hospital.
I get what you are saying, and completely agree that some individuals do use suicidal ideation as an attention seeking measure. However, in many states, when an individual comes and verbally reports having suicidal ideation, especially if they have a thought out plan, the clinician is legally obligated to seek immediate inpatient treatment.
Isn't it worse for the suicidal person to tell them their families will be in agony forever if they kill themselves? Also aren't you saying "it's better if you keep living in torment"? It sounds awful.
Never say you understand 8:00 ome should show understanding. And later he mentions her family ... I know she mentioned them beforehand but that is making her feel guilty. .. also a big Nono.
This is why you can not tell most people that you are suicidal. This is the problem....she wants to die to stop the pain, but others want her to stay alive for THEIR selfish reasons, prolonging her pain and torture. People hold the right to their own lives.
ButterCookie, I agree with you. People should have the right to determine the course of their life, which should include the right to end their own life if it becomes unbearable.
Michelle R sadly.. a lot of suicidal people are not in their right mind. they want to just get it over with, they don't think about how they can become better or how much their family will be hurt, or atleast someone who cares about them. so a lot of people who do not want to end their lives but are suffering from mental illness may decide "fuck it". this would mean a lot of people dead who probably didn't want to be, they just didn't know how to help themselves.
@@chromberries7329 , my father passed away last year from a heart attack. He had various physical and psychological problems throughout his life. He was on medication, saw every doctor you could think of, and was even hospitalized for a few weeks following a suicide attempt. He frequently talked about wanting to die. Nothing helped. He was miserable. When he passed, a large part of me was greatful that his suffering was over....he found no joy in life, just pain. What about people like him? Not everyone can be cured... how it's anyone's place to say another person has to live in torment on the off chance things might turn around. What if it never turns around?
Michelle R it's still a tricky subject. of course people with terminal illnesses and other health problems should be allowed to choose when they go, but.. it's still not that clear. do you think a person having some kind of episode that really impairs their judgement should be allowed to choose to end their own life? I don't think so. if euthanasia were to become a widespread practice, done in a professional area (I don't know how to express my thoughts clearly) like, if doctors or something would assist you in suicide, their would have to be extensive.. like, their needs to be a lot of questioning and mental health professionals need to be involved, give their opinions and other options. I think suicide shouldn't be the answer. just because things get tough doesn't mean, letsay a 20 year old should be allowed to be assisted in their death. especially when you can get better. some people may not, like in your father's situation. I am very sorry for your loss. so I do think that euthanasia can be helpful for some, to reduce the pain and whatnot, but I believe it'll be a while until the process is allowed to be practiced here in the US.
I agree with you. But it’s a decision that you always have the power to take. So why not wait a little while more and see what the living life has for us, right?
What happens if your insurance company won't PAY for the hospital stay? What can you do then? There's no way my insurance is paying for 5 days, and there's no way I can afford 5 days out-of-pocket hospital stay. It would be over $3,000 for the room. THEY'RE supposed to be the best insurance in the nation. I pay for everything.
Dr Grande, do people actually come in and say they are committing suicide in two days? I understand people say they want to die etc but do they really talk about concrete plans? Are therapists allowed to let clients wAlk out the door without having them admitted when they can’t be steered into a plan to not commit suicide?
I think it's in the skill in how the therapist asks. I see a lot in common between this video and some crime videos that instruct people on criminal interrogation. There's probably a lot more skill to it than I even appreciate. The right balance of empathy and direct questioning, or something. I'd like to hear the theory behind it. The criminal interrogation videos on youtube explain the theories...
Is it possible to section someone when the family and friends say their loved one is going to do it but when you asses the person they don't want you to stop them so they say the "right things" like they don't have specific plans and they don't know for sure if they want to? Or they just straight up lie and say they don't want to and will not try when they really do? I live on the Isle Of Wight where treatment is free and very basic. Mental health doctors and hospitals are constantly over-budget and under-staffed so someone who is in serious danger of themselves can wait 8 months plus for this type of assessment and after this it can take just as long to act. I've also witnessed a person saying to lots of doctors they are going to kill themselves but will not disclose a method. The doctors tell the family without the patient telling them their plan they cannot hospitalize them and in some cases say they can't help them at all.
I'm just curious, do people actually tell their therapist they plan to commit suicide? I ask because I don't even tell mine when I have been thinking about it but not actually planning it. I wouldnt ~dare~ to tell anyone who could/would do anything about it. Thats a terrifying concept. Granted, I dont trust people, even if I know they're trustworthy. So I just wonder how other people could be okay with saying it.
I've in a way told my therapist. I phrase it like "Say you have a patient who is..." and then go from there. I also don't leave anything loose that she can fuck with me on. I know it annoys her to death but I can't do the hospital. I've never been thankfully even with past serious attempts but I really don't want to even see what it's like.
Would someone intent on commenting suicide really be this honest and upfront about their plans? Counselors will report ppl if they say this to them, if they truly wanted to they probably wouldn’t talk about it , right?
I did. I think its that unconscious will to live poking through. Like trying to suffocate yourself with a plastic bag... Before you even pass out you automatically do everything you can to free your hands and claw a hole in the bag. Same concept I think with telling your therapist when they ask, even though you know they are going to send you to the damn hospital.
I’m my wife’s husband and I need help I’m not doing well .. but I have some dark feelings going on and have since I was a child I’m 32 now about to be 33 am I ignorant for feeling the feelings I feel that’s what I was told for not being normal shall I say
“Feeling a little bit better?” *with a shocked face* “I know you’ve been down for awhile, what’s going on?” Dr. Todd, there has to be better ways to discuss her recent change toward positivity. Maybe... “It sounds like you’re outlook has recently changed, can you elaborate?”
If the client is that against going to the hospital, I'd have just hadd them come seeme more often so we could really talk about the route of their issues and traumas. I would be the human connection and support they need to intrinsically decide not to kill themselves.
Since she is planning the suicide a few days out, I like your idea if the counselor is really able to schedule enough time soon enough, to do it. I think the counselor would have to be able to spend several more hours with her that same day in order to do it, though. If the counselor has a full schedule of other clients during the rest of the day, the hospital might be unavoidable this time around, just because of how late in the game this has been caught. But the counselor could at least make a big effort to help this to be the last time. If it were me, I would go visit her in the hospital every day and have a session every day until she gets out, and then continue to have sessions every day for awhile, to create an opportunity for her to talk about the very bad feelings that she wants to escape from by dying. Another way besides becoming dead, to make those feelings go away or at least become a lot less intense, is to express them in a safe environment. It's likely that she never gets to do that, because each time she experiences them, the attention quickly shifts to suicide prevention, leaving the feelings, themselves, un-talked-about (and poised to return again and again). Actually, as a friend, I have sometimes done the thing of spending several hours right then and there, enough to leave the person actually not wanting to kill themself anymore, and then following up again the very next day, etc. It can be successful if the counselor has the ability to devote enough time soon enough.
Even though the plan is a few days out, the hospitalization is order. Stuff could happen to make a few days out become a shorter time period. The doctor can see her in the hospital, and a medication adjustment may be needed, it is safest to have supervision with med changes
People with real suicidal intent do not inform their dr/therapist of their plan. Because they know that the dr/therapist is obligated to stop them by means of inpatient hospitalization. This video is totally unrealistic.
coldvolcanicash some do. I have had clients that have told me. Sometimes people dont want to die. They just want the part of them that is causing the pain not to live. Sometimes, some, not all just need to just put it out there.
She has resigned herself to her fate as she sees it its why she is discussing the subject and also as she says she wants to tell him because of their counsellor client relationship she feels obligated to talk about this some clients are like this.. Also never presume a client wont carry out their plans because they seem to be to relaxed, that's just not safe practice
coldvolcanicash - my brother told medical professionals that he was suicidal and was admitted to a psychiatric unit, where he took his own life. So, yes, people with real suicidal intent do inform their dr/therapist.
That's wrong man, it even exists a suicide lifeline for people to call when they are About to suicide, and believe that work is horrible, nobody que wants to hear someone killing hisself on the phone...Just because you think, doesn't mean it's true, watch your words before you mean it...
I don't know why, maybe because I know it was acting but I really did not like his response to her. I feel like there needs to be a little more compassion and more empathy and I know you have to be straight with the person, but for some reason I felt this was not a good video.
@Cara Lewis-Rimes This is much more for roleplays during diploma's courses rather than realism. During community services diploma we are having to do a 'brief intervention' of high risk suicide client so we have to make it as "simple" as possible to meet marking criteria and to 'showcase' what we've learned.
I use to be depressed sad cigarette smoking drug using alcoholic for about 10 years the some days drinking felt so good but sometimes it made me wanna kill myself even before I started drinking as a kid I had theses thoughts I even tried to kill my self as a teen I think I felt so alone even around people like a misunderstood outsider that no one really like nor wanted around it was like I didn't fit in of belong the drugs in alcohol made me feel cool made me feel a part of the in crowd I felt like I was living life although the suicidal thoughts got stronger at times and I wanted to hurt myself sometimes I still felt a fake happiness that went away when I was sober I had always believed in God but I stared praying to him reading the bible applying what it teach in to my life really seeking God praying often in how I no God is real one day praying to the Father in the name of Jesus his son my sadness went away my want for drugs and alcohol gone knowing that God is real in hes here with me changed my life I pray that you all come to Jesus and over come all this bad the hurting you I understand in if you think no one loves you I very much do but God loves you more than any of us understand We never no the day that may be are last the only way to make it to heaven is through Jesus we have all done wrong in the wedges of sin is death Jesus came in lived a sin free life then took the punishment of the sins of anyone who believes in him on himself he sacrificed himself so that through are faith in Jesus we may have everlasting life pray to the Father who is God in Jesus name ask God to revile himself to you in time he well God is living he well let you no Jesus is the only way to him trust in Jesus and fallow him by living as he lived doing as he did obey his teachings learn from God our Creator who is the origins the definition of love and morality not mans teachings mans ideas of so called morality or mans opinions a man are just a creation are Creator the author of how we should live life anything outside Gods teachings is 100 percent wrong pray to God ask him to make you like Jesus forgive others and be forgiving understand no matter what you done in life don't beat yourself up over it trust in Jesus and through him you are forgiving when you get bad thoughts you can say these thoughts away from me in the name of Jesus in they will go over time love you all may love, peace, and forgiveness spread to you all in the name of Jesus
for me it feels so weird seeing a grown woman talk openly about mental health (I am a teen and I only ever saw other teens with bad mental health (both IRL and in other media (eg.:books)))
Really wish I could see the dislike ration for a video like this! Nothing subtle about “I’m gonna choke down a bunch a pills in a few days. Just thought you should know.”
I did not take this statement the wrong way. Through their dialogue, it was made clear they have had an ongoing relationship. He seems to know the client well. He seemed to be probing for her purpose of wanting to bring it up in counseling because she KNOWS he will stop her. So if she really wanted to do it, why bring it up in therapy? It could be true that this time really was different for her--she did not want him to stop her like she did in the past. Or maybe she wanted clarification like she said? Or maybe there really was a part of her, even if unconsciously, that wanted to be stopped? I guess the wording could have been better at the end of the statement, but I understood the intention behind it given their relationship and history. He had a history to compare to.
While most of the questions used were alright there is so many issues with this. "Dr." Todd's tone of voice was condesending. There was no warmth towards his client. His client came in and told him what was on her mind. Why didn't he say things like "Thank you for trusting me with this." He used blame, shame and guilt. He didn't keep himself unbiased. He said that suicide is wrong. He disregarded her, and talked over her. There were so many missed opportunities for empathy. She mentioned wanted to take care of her family multiple times. He could have leaned into that " I didn't know you care about your family so much. Tell me more about them." What I see in this video is a white male using his role power to dominate over his client. I don't see someone who actually sees a human being. THis is just sad.
this is the most pathetic thing i’ve ever read in my entire life. you are an absolute joke of a human being. 🤡🤡🤡 literally no one in the world respects you or takes you seriously, you do understand that, right? lol being this much of joke shouldn’t even be possible. anyone that would actually write something like that literally has zero value or worth as a person. besides, who on earth actually let you have a computer and access to the internet and leaves you alone unsupervised like this?? go back to your clown school bozo 😂🤡🤡
It is totally inappropriate to have a political ad for a specific candidate appear in the middle of the video. Ads appearing multiple times in the middle of the video takes way from what is good content.
The client was being difficult in this video. She was certain about suicide and not happy that Dr. Grande was against the idea. Dr. Grande did well with staying patient with her and explaining that he cares about her. He gave her the option of going to the hospital voluntarily, which still gave her some form of decision making in the process.
If they've been seeing one for a while? Yeah. Usually if they have a good relationship with the counselor and they're this late stage, they'll go to help the counselor come to terms with it.
Hmm, please, I don't know what you are going through. I will ask you to please get in touch with a Christian counsellor. This is acting but this is so real and this is how some of my clients let it out. There is a good reason to get it out and talk. Not everyone will stop to listen to you but a great counsellor will walk with you and hold your hands. Please, speak to someone. Take care and GOD bless.
Nope. I’ve been hospitalized back to back, and suicide is the only option. It will unfortunately cause the people I know grief, but that’s the price for caring for a person like me. Every time I am hospitalized, I tell whoever does it that I’m just going to commit suicide after I leave. I’m resigned to death. Nothing will change that now.
This is a common problem. This is one reason why we need to do more for people than just hospitalize them every time they're suicidal. On average, hospitalization makes people more suicidal, not less, and just after leaving the hospital is one of the most common times to complete suicide. Just a few days ago I talked a friend out of the intent part, when she had ideation, intent, and plan. No hospital needed. I have the luxury as a friend, of being able to have a "session" of unlimited length. This is something counselors need to figure out how to replicate. Have sessions more often? Visit the client in the hospital during their hospital stay? Somehow the counselor needs to have the needed conversations with the client, and hospitalization often jumps over that and prevents it from ever happening. We can see with this pretend client- it's a revolving door. The cycle happens again and again. When will the counselor and client ever actually have a conversation directly, about the feelings that lead to suicidal ideation? Whenever the client has those feelings, the conversation turns to risk evaluation and then hospitalization compliance. If the conversations about the feelings- the feelings that are so bad or so persistent that death seems preferable- never take place, this will always be a revolving door. Those conversations won't happen upon release, because then, the client "feels better" either in actuality or because they have figured out that in order to be released, they have to focus on positive feelings and ignore negative feelings. Then when the client feels worse, it's accompanied by suicidal ideation, a plan, and intent, and the feelings never get talked about because then, the priority is risk assessment. So it's a revolving door, and life starts to feel increasingly hopeless and meaningless for the client- always a revolving door and no progress- which escalates what becomes just a chronic desire to be dead. I get it. Another thing is the client does need a break from the feelings. Having persistent bad feelings is a linear stress- a constant stress- and that can be unbearable. The need to get a break from the bad feelings, is real. There are other ways to do that, besides death. How to get a break from the bad feelings, is a very important thing to talk about. When is this ever talked about in counseling? Never, that I can see. I appreciate the problem here. I want to try to help.
WRONG! WRONG! WRONG! SURVIVORS OF SUICIDE NEVER FEEL BETTER! IT’S AN UNENDING PAIN!! SHE IS WRONG, AND YOU’RE STATEMENT THAT THEY’LL GET OVER IT 😠 ?!?!? DOCTOR??? SHE NEEDS YOUR HELP!!! 🥵
Usually survivors will have survival instinct. They don’t actually feel better and if they think they do it’s cause of all the drugs “professionals” give.
that’s not even true. 🤡🤡🤡🤡🤡🤡🤡🤡🤡🤡🤡🤡🤡🤡 obviously some people who survive suicide attempts realize that they don’t really want to die, and do eventually end up feeling better. you are so unbelievably selfish and childish and your life is a fucking joke. you’re not even capable of separating your own subjective experience with suicide and mental illness from other people’s experiences. LMFAO why don’t you just get back in your clown car and drive back to the circus where you belong 🤡🤡🤡🤡😂😂😂😂
