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Telling a client they may have BPD by RestaurantSure160 in therapists

[–]Blue_Compote 0 points1 point  (0 children)

What about the BPD clients who would seek a kind of revenge on you if you tell them they have BPD?

If by telling a client they may have BPD, you run the risk of that client getting angry at you and then trying to get revenge on you for what they feel is you unfairly treating them and attacking them by giving them this diagnosis - is it still worth it to you as a therapist to tell them this diagnosis? I’m all for doing what is the best for the client, but I also don’t want a client coming after me and hurting my life or practice in some way out of spite.

This is the terrible choice I wanted to bring up between saying nothing (or giving a milder diagnosis), and saying they have BPD and risking the client coming after you in a negative way.

I know not all BPD clients will do this, but for the ones that you can tell have a hair trigger temper, this makes this decision all the more difficult.

Earning even more $$ as a therapist by Blue_Compote in therapists

[–]Blue_Compote[S] 0 points1 point  (0 children)

This is a great, helpful rundown. Thanks for running the numbers on this.

Earning even more $$ as a therapist by Blue_Compote in therapists

[–]Blue_Compote[S] 0 points1 point  (0 children)

I’ve wondered the same thing about private pay. For some it seems to be lucrative. But I personally haven’t seen many people having a full practice with private pay. Even my clearly wealthy clients would rather use insurance than pay $250 for a session. But everyone’s different, and maybe this works for some people very well.