Explaining the Limits of Confidentiality to a Counseling Client

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  • Опубликовано: 4 дек 2024

Комментарии • 111

  • @reneemendez4287
    @reneemendez4287 8 лет назад +26

    I really liked this video because we as counselors in training know the limits of confidentiality but having the client understand it is a different story. Dr. Grande explained confidentiality very well to the point that I believe most clients would understand how it works

  • @carolkirby5869
    @carolkirby5869 7 лет назад +6

    I really like the thorough way that Dr. Grande covered levels of confidentiality and the different grouping associated with each level (GP, family included in counseling, insurance companies, and obligations regarding suicidal or homicidal ideation). I also like how reassuringly he manages this discussion, especially since talking about things this private can be scary.

  • @robertpatterson4025
    @robertpatterson4025 5 лет назад +7

    To me this was a really good example of talking with a client about confidentiality. Most of the videos Ive watched that demonstrate similar discussions were way to short and very one sided. I really liked that you took the time to have a respectful detailed discussion.

  • @thecorgisquad9861
    @thecorgisquad9861 8 лет назад +4

    The limits and strengths of confidentiality are paramount for not only our own professional safety with clients, but for our clients themselves to fully understand just what they should expect from us and hold us to during our therapeutic relationship. It seems like an easy topic to understand, but breezing over confidentiality is a slap in the face. It needs to be handled with utmost care like it was in this video.

  • @georgehasleftthebuilding6621
    @georgehasleftthebuilding6621 4 года назад +12

    Still helping folks 5 years later. Thx Dr Grande ! I hope you always have such a great passion for your profession. It is a wonderful, refreshing and a much needed combination....that will surely stand the test of time. 📓📚

  • @Mjthfdj
    @Mjthfdj 8 лет назад +3

    Very helpful video. I liked how Dr. Grande discussed confidentiality in a subtle way and allowed the client to engage. Great demonstration.

  • @jack_k2136
    @jack_k2136 4 года назад +14

    Nice example. I notice many counselors, even 'seasoned' counselors gloss over limits of confidentiality or don't cover ALL the limits, including supervision (for unlicensed therapists). I spend a lot of time with interns making sure they actually understand these limits as it seems not a lot of schools focus much on them, at least, in the 3 states in which I've practiced.

  • @rhondabaileyyy
    @rhondabaileyyy 5 лет назад +1

    This is a great example of a thorough and detailed explanation of the possible exceptions of confidentiality.

  • @amandagerrick5004
    @amandagerrick5004 6 лет назад +3

    I found this video really helpful in laying out how confidentiality could and should be explained to a counseling client. I will be looking back at this video when prepping for my intake interview video.

  • @runner000777
    @runner000777 8 лет назад +2

    This was a great video on explaining limits of confidentiality. We have to remember how crucial this is when counseling our clients. Dr. Grande presented this very well.

  • @reginaames3038
    @reginaames3038 8 лет назад

    I liked how he gave her the opportunity to briefly tell why she came to see him. I like how he explained the difference between counselor and attorney confidentiality. Also I like how he explained that confidentiality is not absolute. I also like how the client asked questions instead of just sitting and listening to him.

  • @melissaclendaniel9811
    @melissaclendaniel9811 8 лет назад +1

    I really liked this video. Dr. Grande goes into great detail about the limits of confidentiality and was able to answer his client's questions easily. The reason I liked this video so much is because I had never really seen confidentiality explained in video format as to what it looks like with a client. I specifically thought it was nice to hear about the explanation for primary care physicians and insurance providers. These were ones that I had not really thought about before.

    • @reneemendez4287
      @reneemendez4287 8 лет назад

      +Melissa Clendaniel Dr. Grande conveyed it in a way that was easily understandable to the client, and to me as well. He went into great detail about it

  • @tammywitzke6642
    @tammywitzke6642 7 лет назад +1

    Going over disclosures with clients, as to the limits of confidentiality, can be awkward. This was great at demonstrating the best way to approach the subject with clients.

  • @jazzynovy5400
    @jazzynovy5400 8 лет назад

    I liked how while Dr. Grande was explaining the limits of confidentiality, he invited the client in the conversation. He wasn't talking down or to the client. It was a two way conversation. This was very interesting to watch.

  • @virginiamurrey9139
    @virginiamurrey9139 5 лет назад

    This is a great video for the counselor to use as a reference to explain what the limits of confidentiality is. I can also see it from the side of the client also, in hearing what the limits are (if they are doing something that would be within the limitations) they would be hesitant to share. There are also those clients who may want to still talk when they hear them as a way to reach out for help.

  • @jacklinskibicki6098
    @jacklinskibicki6098 8 лет назад +1

    This video is extremely helpful for understanding the differences in and limits of confidentiality. A thorough explanation was provided to the client in a clear and concise way, which was a wonderful model of how to present this information to our future clients.

    • @jazzynovy5400
      @jazzynovy5400 8 лет назад

      +Jacklin Skibicki I agree that this video was helpful in explaining and helping the client understand the limits of confidentiality.

  • @lizconnor1820
    @lizconnor1820 6 лет назад

    This video was so helpful! It can be overwhelming for an incoming clinician to try to cover the exceptions to confidentiality with a client but this video shows that it can be done effectively. This would be super useful for anyone entering the field!

  • @meganwidman
    @meganwidman 9 лет назад +1

    This is an excellent example of a thorough explanation of confidentiality and the limits of it! Thanks!

    • @michellerobinson968
      @michellerobinson968 8 лет назад

      +megan widman Agreed Dr Grande completed this video thoroughly.

  • @briannagoitiandia9833
    @briannagoitiandia9833 6 лет назад +1

    After reviewing my intake assessment I realized that I did a poor job at thoroughly explaining the informed consent and limits of confidentiality. This video is helpful going forward so that I can improve in the future when with clients.

  • @veronicabetz9452
    @veronicabetz9452 5 лет назад

    Dr. Grande used great examples as he thoroughly explained the limits of confidentiality. This information will be very beneficial when I record my intake assessment.

  • @angelinastanton7996
    @angelinastanton7996 5 лет назад +1

    I found this video such a great way to explain confidentiality to a client, and I really wish that I had a chance to find out about this video a long time ago. I will save this video to study it and review it often.

  • @katherinebeck593
    @katherinebeck593 8 лет назад +6

    This explanation was one of the best I have seen so far. It was also very helpful for our assignments in class.

    • @danielleduboski151
      @danielleduboski151 7 лет назад +1

      I agree. I know that being a client hearing that what you talk about may need to be brought outside of the sessions can be overwhelming. This helps me as a counselor in training to help explain the reasons why confidentiality might be broken. Great video.

    • @angelinastanton7996
      @angelinastanton7996 5 лет назад

      I agree that this was the best video or role play on confidentiality that I have ever seen, and way more informative than what was explained to me in class.

  • @CandyKaneLane
    @CandyKaneLane 8 лет назад

    This was a great video to help prepare us for practicum and internship in knowing how to properly explain limits of confidentiality to a client. I like how in the video Dr. Grande would say something along the lines of " I'm not saying I foresee this happening, however.." and he would go into explaining the certain precautions and confidentiality limitations. I also like that suicidal ideation and risk of harm to self was discussed because I think it can be tough for any counselor, not just a new one, to discuss such topics.

  • @brittanyvodzak9198
    @brittanyvodzak9198 8 лет назад

    This was a great video on explaining confidentiality and the limitations. Dr. Grande provided a great explanation with detail in a concise way. I also liked how the client asked questions and how Dr. Grande responded.

  • @MyDonh
    @MyDonh 7 лет назад

    very straight to the point in a relaxed tone in a manner that connected with the client to alleviate any issues.

  • @zureezee1887
    @zureezee1887 6 лет назад

    I like this video because it explains clear what the exceptions to confidentiality will be and clarifying with the client if they understand and agree

  • @johnharrisjr2808
    @johnharrisjr2808 5 лет назад

    Great video! i think that Dr.Grande thoroughly explain the exceptions to confidentiality. I feel like the client felt at ease and understood the exceptions clearly

  • @michellerobinson968
    @michellerobinson968 8 лет назад

    I appreciate the in depth examples given in this video. Confidentiality is crucial and the client must trust in their counselor to maintain this. Great video.

    • @thecorgisquad9861
      @thecorgisquad9861 8 лет назад

      +Michelle Robinson Trusting your counselor is huge! If there is no trust, there is no second session, no rapport, and no progress. I agree 100%!

    • @mandabear52289
      @mandabear52289 8 лет назад

      +Michelle Robinson I agree! I like how he gave examples of each exception to make sure was fully understanding. I think the detailed examples gives the client a clear idea of each exception and when it would be used.

  • @niktucker5812
    @niktucker5812 7 лет назад +1

    I think that explaining the limits of confidentiality at the beginning is very important. I think that by doing so, a stronger therapeutic alliance is more than likely to develop opposed to telling the client you must disclose what he or she has told you immediately after he or she has disclosed.

  • @jpincinjr
    @jpincinjr 8 лет назад

    This is like the confidentiality video from the previous playlist. Also very thorough and many good examples of what questions clients may ask.

  • @bethanyelstrom3566
    @bethanyelstrom3566 8 лет назад

    This video covered the issue of confidentiality very well. I appreciate the thoroughness of suicide ideation and child/elder abuse. It is always good to check with the client to ensure they understand each of the exceptions as explained. This is a good beginning to start the therapeutic alliance.

    • @jpincinjr
      @jpincinjr 8 лет назад

      I agree that it is a good way to begin the counseling relationship

  • @alexdeloach6472
    @alexdeloach6472 6 лет назад

    Great role-play. This video helped me to understand how to better explain confidentiality to a client in layman's terms.

  • @kimberlykelly386
    @kimberlykelly386 8 лет назад

    Great video on explaining limits of confidentiality. I liked that the client asked for clarification so we could also hear how Dr. Grande would respond to common questions.

    • @brittanyvodzak9198
      @brittanyvodzak9198 8 лет назад

      +Kimberly Kelly I also liked how Dr. Grande responded when the client asked for clarification. Even though we know what confidentiality is and the limits not everyone else does so we will have to know how to help clients understand.

  • @kelly4321
    @kelly4321 5 лет назад +1

    Most of the information I was already aware of from previous classes, but I must have forgotten about the primary care physician or insurance company. It is good that those were brought up, they are important to discuss with the client so the client gets the full idea of the counseling exceptions to policy when it comes to confidentiality.

  • @rosasutton8472
    @rosasutton8472 7 лет назад

    Very thorough explanation of the limits of confidentiality, especially suicidal and homicidal ideation. I think a lot of clients go into counseling uninformed of their rights and I like how in depth this explanation of confidentiality is.

    • @michelemunday261
      @michelemunday261 7 лет назад

      Agree! Great explanation of the limits of confidentiality!

    • @kyarapanula1002
      @kyarapanula1002 7 лет назад

      Agreed! During the appraisal intake interview, it was important for me to convey that the client has rights, though I'm doing my job in the sense of 'do no harm' by reporting when suspicion of harmful intentions is communicated.

  • @ushalincoln9224
    @ushalincoln9224 6 лет назад

    This video was really helpful to help me better understand how to explain the limits of confidentiality to our clients.

  • @mandabear52289
    @mandabear52289 8 лет назад

    I think that this is a great video explaining and going over confidentiality and it's exceptions. I think that it is very important that we make sure that our clients know these exceptions and understand them. At the same time making them comfortable talking to us.

    • @rachelfoster5463
      @rachelfoster5463 8 лет назад +1

      +Mandy Moore I agree. It is so important for the clients to understand the limits to confidentiality so that they understand the counseling relationship. You do not want to be in a situation where the client thinks you can keep everything a secret, yet you also do not want them to feel uncomfortable talking to you.

    • @CandyKaneLane
      @CandyKaneLane 8 лет назад

      +Mandy Moore I agree, in the video Dr. Grande portrayed ease and calmness as well as a sense of safeness to the client to help allow the client feel more comfortable and understand the conditions and limitations in which he was explaining to her.

    • @runner000777
      @runner000777 8 лет назад

      +Mandy Moore Agreed! We have to make sure our clients understand this issue

  • @sherrietilghman2745
    @sherrietilghman2745 8 лет назад +2

    I didn't realize that explaining the limits of confidentiality and client and counselor relationship would consume as much of the session. However, I do think it's important to thoroughly understand.

  • @fulanichild3138
    @fulanichild3138 4 года назад +4

    It is _unbelievable_ that your insurance company would have access to your therapist's notes. Sure, he doesn't know of any situation where that has been misused. Of course not. Criminals don't let you know that.
    Very informative video. Thanks.

  • @aliciazahn1718
    @aliciazahn1718 8 лет назад

    This video was really helpful. In theory I understood what I needed to tell clients about confidentiality but not to this detail. I especially liked the part where Dr. Grande differentiates between suicidal ideation and risk of harm to self.

    • @bethanyelstrom3566
      @bethanyelstrom3566 8 лет назад

      +Alicia Zahn Yes, the detail in this case does seem great, but it was a good example of being thorough to ensure there is complete understanding.

    • @sherrietilghman2745
      @sherrietilghman2745 8 лет назад

      I appreciated the clarification with this matter also. I think it keeps the communication open with client without them fearing talking to the counselor if they have those thoughts.

    • @kimberlykelly386
      @kimberlykelly386 8 лет назад

      +Alicia Zahn I really appreciated hearing how he differentiates between suicidal ideation and risk of harm too!

  • @mrmoveandspeak558
    @mrmoveandspeak558 4 года назад +2

    The screencap for this video would make a great Dr Grande Meme . Something like “how many times do I have to tell you? life coaches aren’t mental health professionals”

  • @Tbear995
    @Tbear995 2 года назад +1

    Just learned about this in my counseling class!

  • @monicaperry13
    @monicaperry13 6 лет назад

    This video explains the limits of confidentiality very clearly. It also covers all possible areas where confidentiality would have to be broken.

  • @aliciawilliams7626
    @aliciawilliams7626 5 лет назад +2

    Wow very good thanks so much for the video!

  • @Uptownboo84
    @Uptownboo84 6 лет назад +21

    well done! Background conversations were a bit distracting though..

  • @loriwardwell2957
    @loriwardwell2957 6 лет назад

    very thorough explanation of confidentiality

  • @Janina521
    @Janina521 3 года назад

    this is really useful because i have to make a video just like this one for my practicum class. thanks!

  • @janicedixon2051
    @janicedixon2051 5 лет назад

    Nice job explaining all of the exceptions clearly. In most sites, is there some kind of form to follow that will assist with this portion of the intake?

  • @jamiefisk7536
    @jamiefisk7536 4 года назад

    Very well done. Khaler Jex nothing you ever say is going to be a secret.

  • @blastoise70
    @blastoise70 Год назад

    Great video!

  • @alena4817
    @alena4817 3 года назад

    Great videos! I watch all the time! I noticed, though, that you always cross your leg when you talk to clients. Im wondering if you think that nonverbal gesture may be looked at you are blocking yourself from clients. At least, that is what I would think - I would want my counselor to show they are welcoming me not closing themselves from me.

    • @ralfwashington1502
      @ralfwashington1502 3 года назад

      Yeah I agree to. Although for a first session that can feel good as a client like they give you space. If feel uncomfortable if they were leaning in and looking at me like back off. So I guess it depends on the person but I see what your saying to as in body language

  • @marymary5494
    @marymary5494 5 лет назад +2

    Thank you.

  • @dougn2350
    @dougn2350 3 года назад +1

    So basically everything you say in therapy is potentially public domain. Your primary care provider. Insurance companies. Law enforcement.
    All at the discretion of a therapist who might like you for some reason.

  • @blackcatwhitedog1802
    @blackcatwhitedog1802 3 года назад

    is it still up-to-date that in US you have to 'warn that relative of what you plan on doing..what threats you've made' or you as a clinician should notify the authorities about that situation, not directly the person/people themselves?

  • @cassitoney
    @cassitoney 8 лет назад +3

    Overall I like the example that is presented here, but I don't like how he said that he was "sure she wasn't abusing children or elderly people." I think it's unnecessary to say, and in this hypothetical talk, he doesn't actually know her yet, so how does he know if she was abusing people?

    • @tamarahbernixe
      @tamarahbernixe 8 месяцев назад

      A lot of people say that idk why

  • @KhalerJex
    @KhalerJex 4 года назад +15

    Essentially: Your secrets are not secrets after you told your counselor.

  • @rachelfoster5463
    @rachelfoster5463 8 лет назад +1

    I thought Dr. Grande explained the limits to confidentiality well. It seems like a lot to cover, but Dr. Grande does it in a way that is less overwhelming. The background noise in this video is a little distracting.

    • @aliciazahn1718
      @aliciazahn1718 8 лет назад

      +Rachel Foster I thought it was very thorough but not overwhelming as well. Yes, the noise was distracting.

    • @melissaclendaniel9811
      @melissaclendaniel9811 8 лет назад

      +Rachel Foster I also thought that even though there was a lot to cover, the way the video was presented was not overwhelming to the client. I agree that the noise was a bit distracting, there was probably a class next door I think.

  • @mercedeswilkins9085
    @mercedeswilkins9085 6 лет назад

    And the same applies to kids. What kids tell their doctors or therapist it's confidential between them and the kids. You don't tell their parent or guardian what they told you or what you told them. It's all about trust. Once it's broken it's broken and can't be fix.

  • @andrewr6433
    @andrewr6433 9 лет назад

    I would think most counselors have this detailed information in a written format that they get signed at intake, no? Seems an awful lot to have to explain bit by bit for 10 minutes on meeting every new client as part of an intake session. Of course you could ask them if they had any questions, or clarify if they expressed any worry about it, but is a written document sufficient?

    • @davidtraining1
      @davidtraining1 9 лет назад +1

      +Andrew R I'd prefer this approach to having a written form, personally. The forms are useful, because the client can take it away with them and they make sure that all the areas have been covered, but this verbal version explains the concepts, not just states them, elaborating on the areas that the client was concerned about. I'd expect that, in doing it verbally, you have the chance to assess any concerns of the client, and build trust before they begin sharing their situation. Having said that, there are other examples which do all of this a bit more quickly.

  • @alexjonesmom
    @alexjonesmom 2 года назад

    Tod grande the goat 💯

  • @sonomacalendar9949
    @sonomacalendar9949 5 лет назад +4

    Ok in a nutshell all info goes straight into the file of FBI, NSA and local police. They do need to know what is going on from all possible sources

  • @chosen1316
    @chosen1316 4 года назад

    Very well done

  • @ronaldgarrison8478
    @ronaldgarrison8478 3 года назад

    Yet another facet of this is when the client mentions having been threatened, or assaulted, by someone else. (It may or may not be a previously known situation.)

  • @daliaali7607
    @daliaali7607 2 года назад

    What if I face this caseCase Study 1:
    One of the parents texts you and asks to have a private conversation with you without the
    presence of the other parent. During that call, he/she expresses that their partner is abusive
    towards them and they don’t know what to do. They ask you not to tell anyone and that they
    just wanted to rant about it.
    How do you handle the situation? Please answer in no more than 10 lines

  • @magesazabron3802
    @magesazabron3802 7 лет назад

    how would you ensure confidentiality in a counceling services.

    • @ffiontalbot9737
      @ffiontalbot9737 7 лет назад

      Magesa Zabron ask them if I told u ............ Would you have to tell anybody

  • @ralfwashington1502
    @ralfwashington1502 3 года назад

    Lawyers you can tell ANYTHING to as there client they can't talk about it for just about any reason. (Not never but very rarely)
    A shrink you can talk to but if you break the law there are notes on it at the least and your GP will probably find out like drug abuse or if you do something worse the police will know.
    Mob lawyers can know who was wacked and what drugs you had and not say a thing. Although most lawyers don't want the details they aren't usually required to say anything.

  • @wandaleczynska917
    @wandaleczynska917 6 лет назад

    How strange no supervision! Over here in the UK we have to report about self harm, harm to another person or disclose child abuse we take it to supervision. We all have to have a supervisor to discuss cases & report certain issues.

  • @witwisniewski2280
    @witwisniewski2280 2 года назад

    That leaves the question of confidentiality by the insurance companies.

  • @yarelimaximo7823
    @yarelimaximo7823 5 лет назад

    If I tell my psychologist that I was molested by family member, would he/she report this?, even though I don't intend to press charges or anything like that.

    • @Bulluminati517
      @Bulluminati517 4 года назад +1

      My guess is that they wouldn't report it unless the abuse was still occuring. Or if you know or suspect that the same family member is currently abusing or has intent to abuse someone else.

  • @Aprilforevergreen
    @Aprilforevergreen 4 года назад

    What happens when the person in therapy reveals that they are being harmed by someone else?

  • @PV-pu5iu
    @PV-pu5iu 2 года назад

    Interesting, that in my experience as a client, none of this was ever told to me.

  • @ralfwashington1502
    @ralfwashington1502 3 года назад

    Those chairs are close together. I hope that's just to get the close shot for the video. Lol

  • @theliftexpert
    @theliftexpert 6 лет назад

    Basically,if two people know a secret,it is only a secret when one of them is dead 💀.....

  • @bobjenkins8631
    @bobjenkins8631 2 года назад +1

    @ 3:23 hell to the naw.. that shit was not explained at all! I need to what? If I wud like to bring my child with me into my session with my dr. I need to do what? Sign what For what? I'm a sane mf person !! Thays my son u my dr. An he in my care.. I got nothin against seeing no shrink but what? How come that? Pretend to be catholic an confess or shit hire a lawyer and talk. At least they cant say shit.

    • @bobjenkins8631
      @bobjenkins8631 2 года назад +1

      P.s. please open your eyes people. This is a training video. This is how they want y'all to let it go on and continue to be!!....he is and I'm paraphrasing here but i quote.. "obligated to react on if he feels worried about something possibly happening to someone" Dude fr? If you wasnt worried bout yourself or your training you wouldnt be here. ... plus guess what!? If your wife and or kids have some type of horrible cancer.. guess what? Your session notes get shared, but dont worry- your progress reports DONT! So eventually wen I'm almost better, they never hear about it, and cut off my shit before I'm cured. Tf?!? Man..like I said.. I'm out.

  • @willowbrooks
    @willowbrooks 3 года назад

    Did anyone else hear people talking in the background?

    • @eh-i1841
      @eh-i1841 3 года назад

      Yes,I did.A bit strange,when you’re hoping for privacy.😔

  • @hoonoo4276
    @hoonoo4276 7 лет назад +2

    So anyone with a bit of statutory power can have the information...What's the point about saying its confidential when everyone and his dog has access to the client's records? I would just say to the client: "Actually, in this state, there's no such thing as confidentiality. The state can subpoena all your records and do whatever a judge sees fit to do with them. Of course, I'd never tell your friends and other people who really aren't that interested in your issues, but when it comes to the real threats to your privacy, well then you're on your own buddy! :-P

    • @joelvega9534
      @joelvega9534 5 лет назад

      Yeah, it'd be much quicker to say "you have no confidentiality".

  • @adrienne5080
    @adrienne5080 4 года назад +1

    Love Dr Grande...but the way he is sitting needs work!! Sorry Doc.....

  • @dougn2350
    @dougn2350 3 года назад

    I guess you could use a false name and pay cash for your therapy.

  • @KandyPensChannel
    @KandyPensChannel 7 месяцев назад

    TELL THOSE PEOPLE TO STOP TALKING IN THE BACKGROUND WE CAN'T HEAR OR UNDERSTAND YOU!!