Marie Jones is a 73-year-old woman who lost her husband last year after nearly 50 years of marriage. His complaints are memory problems, bad appetite and low energy. Mrs. Jones told the doctor that her children think they should move to a retired community but hesitate to give up their home. If Mrs. Jones or someone, like him, refers to his practice, would you be willing to handle it? If you have so many other providers in the help community, then the answer is probably not. As the 20th century points to a close American society, it is shrill. Life expectancy has dramatically increased over the past 75 years, and the number of elderly people willing to grow in the community is growing steadily. Aging stress, such as environmental changes, retirement, loss of partners, and the overcoming of illnesses are all issues that can be addressed in psychotherapy. However, very few graduate programs offer training opportunities in clinical gerontology.

Even if training is available, age can lead to the assumption of some therapists that emotional growth and change are limited among the elderly, so it is not a professional pursuit. Personal fears related to old age and the family problems of parents / grandparents are based on the shift that can also be used to treat elderly people. Whether the reasons are personal or professional, the treatment of older adults when I'm ready leaves open the door open because of ethical dilemmas and possible mistakes.

* Before starting work *

Psychotherapy is an intensive exploration of personal values. Understanding your own value system and influencing your work is the cornerstone of ethical practice. Credits lead the counseling process, even in the most common therapies. As Christians, it is easy to underestimate the importance of clarifying values. God's love, loved our neighbors as ourselves, and our faith in the healing power of Christ is a value that becomes evident in the Christian counseling community. But in the body of Christ there is a great diversity, because we will face many other agreements of health, healing, disease and change.

In the area of ​​valuable values ​​and values ​​in the field of gerontology, it becomes the object of prayerful consideration of difficult questions. For example, what is your faith in life-ending? If the client intends to die by stopping painful medical treatment, how would he decide what to do? Would the decision be different if your client was 65 or 85 years old? Does your behavior contradict the adopted community practice standards or state regulations and laws? The values ​​guide us and guide our customers. After you spend time in identifying your values ​​of the aging process and the elderly, it will be better to see what impact the thesis will have on your work. He is aware of his clear and open respects both the process of therapy and the individual client. It also helps to avoid numerous ethical abuse.

* Common moral dilemmas in Gerontology *

woman. Jones was now on the advice of a family doctor. He is concerned about memory problems and wants another opinion. She thinks Mrs. Jones is isolated and enjoys talking to someone about the relatively new loss of her spouse. Are you the right referrer? Even with the limited information that Mrs. Jones is about, there are many references that can help in treating your mental health. His complaints may indicate the development of dementia, but may also indicate other problems, such as depression, weakness, health impairment, or even abuse of the elderly. Psychological evaluation, individual therapy, and family therapy can be a good part of the treatment plan. As a provider, you must first evaluate your skill level and expertise. Just as you did not think that children should be treated without proper training, the same rule applies to gonadal practice. If you feel qualified, you must have access to old resources, such as supervision, training and consultation, to help you work. Most ethical decisions may be that you can turn your client to a colleague and take time to develop your skills.

* Access to treatment *

Many older adults are unaware of the process, needs and expectations of psychotherapy. Although the community of the elderly is becoming more and more psychologically sophisticated, many elderly people live, who believe that counseling is only for really crazy people. It may be more convenient for a traditional physician / patient relationship, and you do not know what the therapist or therapy can expect for itself. If you have the ability to handle Mrs. Jones, you need to be fully informed about the therapeutic process, including therapeutic style, fees and billing practices, confidentiality, and the risks and benefits of treatment. You may need further information about possible recommendations, such as psychological examinations, mourning groups, or drug consultation. When Mrs. Jones gets the information she needs to understand her work with her, she is ready to provide informed content. If you have any doubt about your powers of consent, you will need further evaluation before you start handling Mrs. Jones. This is important to ensure ethical sound therapy and customer safety. If Mrs. Jones does not seem to understand the therapeutic contract, she may have problems outside the therapeutic room, which needs to be solved quickly. Memory Loss or Functional Decreases are not equal to inadequacy, but can serve as a red flag for a comprehensive assessment.

* Release Information *

You meet Mrs. Jones for two months when her son comes from another state. He was impressed by the improvements his mother sees in mood and self-esteem, but he still thinks if his mother has moved to a care facility. He also believes that some of his mother's problems are related to physical abuse that she suffered during most of her marital life. He calls and leaves this information and asks you to call back without telling your mother to whom he has been contacted. This phone message has many problems for you. First of all, Mrs. Jones needs to mention her husband is abusive. She showed her marriage to be happy and stable. Secondly, Mrs. Jones has decided not to sign information to children because they are worried about me and it only makes me worse. Her son learned about the family doctor who told her son Mrs. Jones's memory problems and depression were declining. If you are confronted with this event, you will need to concentrate on your client. You do not have access to Mrs. Jones's son as you want to help. They also have important therapeutic information that needs to be sensitized to their client. Honesty within therapy requires you to tell him what happened and work with him to reach the action plan.

* Confidentiality Limits *

When talking about his sons, Mrs. Jones states that her husband was an active alcoholic for most of their marriages. At this time he was physically abusive. The failure of a possible failing state of health has been relieved and has been peaceful and relatively happy in the last ten years of their lives. Mrs. Jones also reveals that her youngest son, who lives next to her, is an alcoholic and sometimes angry that he is himself. An essential element of ethically reliable gerontology is the thorough knowledge of abuse of the elderly. It is possible that part of the depression and cognitive problems observed in Mrs. Jones is attributable to abuse. Because of the shame associated with abusing their children, many adults keep the violence hidden, but stress and trauma are often indirectly detected. It is your responsibility to know the laws in your country on the limits of confidentiality and the reporting requirements for misuse of suspicious seniors. This information has to be shared with clients when treatment begins, so they have the power to decide when and how to share information with them. Online Christian Counseling is a good way to get suggestions.

* At Closing Time *

To avoid ethical problems in psychotherapy by pre-population control. Recognizing the limitations of training, participation in continuing education, taking care to help the safety net in practice, and maintaining contact with colleagues are all important aspects. As Christian therapists, we are committed to making gods the means of healing in a broken world. This not only requires that we continue with the highest ethical standards in the profession, but we are constantly open to our work that God can do with us. Conscientious, trained and self-aware clinicians who know their values, strengths and limitations will most likely be prepared to meet this higher level of care.

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