Duty to Warn: No One Commits a Crime Without Thinking About It First

In recent years, duty to warn has been receiving increased attention following public tragedies and mass shootings such as Aurora, Colorado. We know that when a clinician is vigilant in recognizing and managing clients with violent behaviors, it can contribute to the appropriate handling of dangerous situations and minimize risk to themselves, patients, their families, coworkers, and the community as a whole.

As a frontline clinician who specializes in the treatment of personality disorders, managing clients with violent tendencies is a central concern. Some personality disorders are at a higher likelihood to harm others and put their mental health provider at risk, but not all personality disorders or those with mental illness are going to be violent and raise the "duty to warn" question.

Because the issue of duty to warn is complex, it's important to review and understand the specific requirements for the state you practice in. And while duty to warn requirements may vary, the steps to take to protect yourself to manage and avoid in-session violence and threats are universal.
It does not matter if you are a novel or seasoned therapist, threat identifiers are not always searchlights, but often times tiny flashlights.

When the issues of in-session violence and threats do arise; are you prepared? In my book, Antisocial, Borderline, Narcissistic, & Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders, I developed steps and strategies to keep you, your clients, and others safe. I invite you to learn about some of my personal experiences with duty to warn by watching the video below, and downloading the worksheet How to Manage and Avoid In-Session Violence and Threats.




Download the Worksheet:
How to Manage and Avoid In-Session Violence and Threats


Daniel J. Fox, Ph.D., has been treating and specializing in the treatment and assessment of individuals with personality disorders for the last 14 years in the state and federal prison system, universities, and in private practice. He is a licensed psychologist in the state of Texas and has published several articles on personality, ethics, and neurofeedback. He is the author of The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders. His specialty areas include personality disorders, ethics, and neurofeedback.




Daniel J. Fox Ph.D.

Daniel J. Fox, PhD, is a licensed psychologist in Texas, international speaker, and multiple-award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 20 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence. He has published several articles and books in these areas and is the author of the award-winning Narcissistic Personality Disorder Toolbox, The Clinician's Guide to Diagnosis and Treatment of Personality Disorders, the award-winning Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment strategies for Cluster B Personality Disorders, The Borderline Personality Disorder Workbook, and Complex Borderline Personality Disorder.

Dr. Fox has been teaching and supervising students for over 20 years at various universities across the United States, some of which include West Virginia University, Texas A&M University, University of Houston, Sam Houston State University, and Florida State University. He works in the federal prison system, is an adjunct assistant professor at the University of Houston and maintains a private practice that specializes in the assessment and treatment of individuals with complex psychopathology and personality disorders. Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for working with clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along with the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).

 

Speaker Disclosures:
Financial: Dr. Daniel Fox maintains a private practice and has an employment relationship with the University of Houston. He receives royalties as a published author. Dr. Daniel Fox receives a speaking honorarium, recording and book royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Daniel Fox is an Editor/Reviewer with Prentice Hall and Worth Publishers.
Terry Real LICSW

Terry Real, LICSW, is an Internationally Recognized Family Therapist, Speaker and Author. Terry founded the Relational Life Institute (RLI), offering workshops for couples, individuals and parents around the country along with a professional training program for clinicians wanting to learn his RLT (Relational Life Therapy) methodology.

A family therapist and teacher for more than 25 years, Terry is the best-selling author of I Don’t Want to Talk About It: Overcoming the Secret Legacy of Male Depression (Scribner), the straight-talking How Can I Get Through to You? Reconnecting Men and Women (Scribner), and most recently The New Rules of Marriage: What You Need to Make Love Work (Random House). Terry knows how to lead couples on a step-by-step journey to greater intimacy – and greater personal fulfillment.

A senior faculty member of the Family Institute of Cambridge in Massachusetts and a retired Clinical Fellow of the Meadows Institute in Arizona, Terry has worked with thousands of individuals, couples, and fellow therapists. Through his books, the Institute, and workshops around the country, Terry helps women and men, parents and non-parents, to help them create the connection they desire in their relationships.

Terry’s work, with its rigorous commonsense approach, speaks to both men and women. His ideas on men’s issues and on couple’s therapy have been celebrated in venues from “Good Morning America”, “The Today Show” and “20/20”, to “Oprah” and The New York Times.

A proponent of “full-throttle marriage,” as described in The New Rules of Marriage, Terry has been called “the most innovative voice in thinking about and treating men and their relationships in the world today.”

The New York Times book review described Terry’s work as: “A critical contribution to feminist psychology (that) brings the Men’s movement a significant step forward.” Robert Bly hailed it as “moving onto new ground in both story and song. Exhilarating in its honesty.”

Terry’s Relational Life Institute grew out of his extensive and empathic experience. He teaches people how to make their relationships work by providing products and services designed to teach the principles of Relational Life™, so that everyone can enjoy full respect living and craft a healthy life legacy.

Speaker Disclosures: 

 

Financial: Terry Real, LICSW, is the founder of Relational Life Institute. Terry receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.

Non-financial: Terry Real, LICSW has no relevant non-financial relationships.

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