I don’t want to burst your bubble with a subjective perception but it’s my understanding that for psychiatrist lying framing is part of the job. There goal is not to be truthful but to try and help you. They probably sincerely hope they wont need to break your trust but they cant take responsibility for the risk of breaking protocol if such situation is assessed.
I think for therapists they don’t have the authority to do so and would need to report the situation to a doctor/psychiatrist to make that decision.
Now on a more positive side, i have said some utterly insane stuff to some and its very clear they only commit when there is very immediate and concrete risk for danger.
There is a big difference between saying you want to die or experience urges/fantasies/horror. Its another to say you believe you are going to do something when you get home. In which case they are obligated to try and safe life.
Milage may very on country/culture/peoplex
I’m a therapist in Florida USA, and my duty to report is the same as a psychiatrist’s- legally required if under 18yrs, and “ethically obligated” if 18+ (obviously up to provider’s informed discretion though)
I give them a false address anyway so they couldn’t commit me if they tried lol
With my own clients, I try to get their permission ahead of time to make that decision for them should it come to that. If they don’t give me permission, I won’t ever have them involuntarily committed. I have convinced a client to go voluntarily once though, and gave them a ride myself
Hey, your lovely sounding treatment of patients aside, I don’t wanna miss this lol, are you saying you as a therapist give your own psychiatrist fake home addresses for yourself, one specific reason being so that they cannot involuntarily commit you…?
That would be hilarious, sobering, and several other things I don’t really have words for. It’s like doctors who broadly seem to agree that end of life “care” is a travesty and have their own exit plan that doesn’t involve it.
(To be clear I’m not at all implying hypocrisy from you whatsoever, in case that could possibly be read into my comment, you made it clear you refuse to do the thing you’re taking interesting steps to avoid)
