I’ve previously cataloged mental health professionals and their reaction to the notion that their patients perpetrate violence more frequently than others. Clinicians treating patients hear their fears, anger, sadness, fantasies and hopes, in a protected space of privacy and confidentiality, which is guaranteed by federal and state laws. Mental health professionals are legally obligated to break this confidentiality when a patient “threatens violence to self or others.” But clinicians rarely report unless the threat is immediate, clear and overt.

Mental health professionals understand that, despite our intimate knowledge of the thoughts of our patients, we are not very good at predicting what …read more

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