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Psych questionFrom: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)Fri Mar 22 11:46:49 2002
A patient of mine came in today, wanting a refill of Paxil. On questioning her she is fairly depressed by her own admission, has had some suicidal ideation and even could tell me HOW she would do it. However, she refused to see a psychiatrist or psychologist or and other counselor. I insisted she see someone, but she said no, and told me she would sue for breach of confidentiality if I told anyone how she felt. I did refill her Paxil, but told her I would not do it again unless I had proof that she was seeing someone in the psychiatric or psychology field. What do I do now? My gut feeling is to call her husband and have her admitted to a psych hospital. I’d lose a patient, but what are the legal and ethical rights? She seems competent and not likely to kill herself at this time.
-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC
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