Therapists Discuss Patients That Actually Frightened Them

Let’s get creepy!

I’ve always wondered what it would be like to be a therapist who had a scary patient and I guess now I’m gonna find out.

Because we’re about to read responses from therapists who’ve had patients that they were genuinely afraid of.

Check out these responses from AskReddit users.

1. Scary.

“This was early on in training but a mandated client had dropped acid before the session and it started coming on while we were talking.

He didn’t want to be there as it was and was much larger than me (5’0″). Once he got to threatening me for being the reason everything was wrong with the world I ended up needing to get up and leave my own office to get a supervisor.

I definitely thought he would hit and/or strangle me if I stayed.”

2. She meant it.

“The only one I have felt a little scared of was one who threatened to kill me. I knew she meant it.

She had already assaulted a number of other staff. She got sent to a higher security ward and I heard she had broke staff’s fingers first day she was there.

She held staff and other patients hostage in one of our rooms threatening them but circling the table as if playing with them first. I see violence and aggression regularly and it doesn’t phase me but she did.

I would purposely avoid eye contact and look straight ahead avoiding her and pretend I wasn’t intimidated, as that’s what she wanted.”

3. Rage.

“I have a student who is 6’4” with emotional behavioral issues.

Reading his social history made me cry because of all the sh*t he’s been through. So, of course, I have a soft spot for him. But his anger gets out of control and it can be very scary. He punched a pole right in front of me once and narrowly missed my face.

I looked at him in the eyes and sternly said do you realize you almost just punched me in the face? He snapped out of his rage and apologized profusely.

I wanted to hug him and tell him everything was going to be alright. “

4. Freaky.

“I was pretty nervous when the drunk partner of a client backed me into a corner, and pretty goddamn sweaty when a violent s*x offender with a good 80 pounds on me blocked my exit and told me he was going to kill me and my family.

The one that really got me long term was a 15 year old girl in a residential program I worked at. She had substance use issues, which is why she was there, but it was clear from the jump that she had deep, DEEP mental health stuff stemming from her child.

She had been adopted out of a Russian orphanage where she and a younger sibling has been left in a crib alone for god knows how long, covered in lice and shaved bald. She had a lot of (expected) attachment issues but talking to her was like talking to a black pit full of hatred. She hated everyone and everything and had no conception of consequences or what self preservation was.

She’d do stuff that would spin your head around in terms of how unsafe it was…and she just had no reaction. There was no getting through to her, as she needed the interventions when she was a very small child to be able to move forward successfully. She was discharged when it was found out that she was hiding knives under her mattress.

I would not be surprised if she was in jail at this point.”

5. That’s bad.

“In my first semester as a therapist I had a client bring a large hunting knife to session one day, he had it in his waist band in the back.

He revealed it halfway through our session He had been referred to our practice for anger issues.

When in doubt, REPORT.”

6. Had enough.

“Enough to quit my job.

Had high case load of suicidal teens. Most were medicated and low risk, but had two kiddos who had several suicide attempts prior to me, and while under my watch.

I was getting physically ill, not sleeping well, constantly worried. I tried to transfer them to a higher level of care but our company was greedy and didn’t want to transfer them and lose those funds.

I ended up quitting on the spot for these kids to be given a trauma focused therapist and get the help they needed.

Best decision for both myself and those kids.”

7. WHOA.

“They were very delusional and a heavy addict.

They decided our therapeutic engagement was a love story unfolding. Ended with the swat team showing up at the office when they showed up with a weapon and lost their sh*t when I wasn’t there. They disappeared for a couple years.

They appeared behind me on a bus one day and said I saw you with your daughter at your house she’s really pretty. Then gave me my address. They are a known s*x offender. I moved as soon as I could.”

8. Like a horror movie.

“Worked with a patient that complained of reoccurring night terrors about lobsters being boiled alive.

He couldn’t figure out what was causing them.

The fact he killed his gf, chopped her up and boiled her head didn’t seem come to him as a reason he might be having these dreams.

My only fear is the system will have to release him one day as they could never get him sane enough to stand trial.”

9. Takes a strong person.

“I remember when I was working on an adult acute unit, there was a guy who had come to be there through some kind of bizarre circumstances.

He was a pretty important person in the rural area he was from, and he was pretty charismatic. Had a huge family that all showed up for the family session despite having to drive several hours to get there.

The unit had windows that were translucent from ceiling to floor so that light could get in but no one could see into or out of the unit for privacy.

I met with each patient individually as well as in groups, and my office door locked automatically (as is typical for acute units). No one but myself and the custodian had a key. For this reason, I usually tried to meet with folks individually in the group room when it was empty, so we had privacy but I could also get help if needed.

This guy came to my office door and knocked. When I opened it, he came in without an invitation and sat in one of the 2 chairs on the door side of my desk. I sat in the other. He was going on about how much he appreciated my work and how much I’d helped him (which felt disingenuous—he frequently indicated he didn’t feel he needed to be there).

I became gradually aware that he was between me and the door, which was not usually a problem. You actually want to make sure folks have easy access to an exit. Contrary to popular belief, you don’t want to be between a patient and the door.

I did home-based work after I left inpatient work, and in that context, you most definitely do need to be closest to the door). I was also uncomfortably aware of how close he was to me. He could easily touch me if he decided to. I was aware of the fact that I don’t usually feel uncomfortable with proximity, as long as I generally feel safe, so alarm bells started going off.

Then he suddenly said, “how do you like driving that little silver [make and model of my exact car]?” As I said, the windows of this building were all frosted, so there was no way for him to see me getting into or out of my car. All the hairs on my body stood on end.

I had the mental image of being in a room with a tiger. Maybe I’d be fine. Maybe the tiger wasn’t hungry or mad. Or maybe he was. I was only going to get out of that room safely if he decided to let me, which is exactly the experience he wanted me to have, and I could see that he was enjoying it.

That was scary, even though I didn’t have any reason to think he was interested in hurting me physically.

Thank god I have a degree in theatre. I’m sure his predatory instincts told him that I’d received his message loud and clear, but I gave no outward indication of my feelings. I got him out by saying I had to meet with the psychiatrist, and he left the unit soon after.

That was very early in my career, and one of the first of a handful of instances. I’ve done meaningful work with murderers, rapists, animal and child abusers, and just ordinary bullies, and like I said, it’s not about what someone has done.

The folks who have frightened me were (with one notable exception) just ordinary people without scary rap sheets.”

10. Two incidents.

“Used to be a therapist at a behavioral health hospital. I had some patients who genuinely scared me in theory, but nothing ever happened with them. I was significantly attacked twice at work.

Both patients were young women. Neither of them “scared” me beforehand. Both were incredibly quiet, withdrawn, and unassuming. One strangled me with my keys- my lanyard was a breakaway for that very reason, but she had tried to steal them several times that shift in attempt to escape the building and run into traffic, so I stupidly knotted off the breakaway portion.

We carried panic buttons on the lanyards and I was able to press it while being strangled with it.

The other attack occurred when I was fairly new and on a low-security unit, in view of other staff. I was walking away from the patient and she grabbed me by my hair, pulled me to the ground, and dragged me for several feet down the hallway where she began kicking me in the chest and stomach.

She was sent to a higher security unit as a result. I guess I was afraid of her after that, but she wasn’t there long. There was law enforcement intervention after she assaulted a pregnant nurse, pulled her to the ground as well, and stomped on her stomach.”

11. A charmer.

“Worked residential for 20 years. Had only 2 kids scare me

. One put his baby sister in the freezer. She was found quickly and was ok. He was charming, a good looking kid and quite clever. Also no history of trauma or abuse. Serious serial killer vibes.

One was horribly abused and somehow figured out I was pregnant. I wasn’t showing at all since I was fat. He would just stare at my stomach. I asked to be moved to a different group. First kid was or still may be a case study for students at the local big university.”

12. The door is blocked.

“The only time I’ve ever been scared is when my physical safety is threatened such as a patient blocking the door, hinting they know where I live, or implying they’d like to hurt or r*pe me.

I have a stellar poker face and once these really tough patients realize that I’m unfazed they usually drop it. My strength in therapy is mostly just broad acceptance and tolerance of whatever they bring to the table.

I let them know when I have to break confidentiality from the get go and that’s that.”

Have you ever had a patient, a co-worker, a friend, or a family member who you were legitimately afraid of?

If so, tell us all about it in the comments.

Thanks!

The post Therapists Discuss Patients That Actually Frightened Them appeared first on UberFacts.

Therapists Talk About Patients That Genuinely Scared Them

I think these responses are going to sound like something out of a horror movie…so it should be kind of exciting! And creepy…

We’re about to hear from therapists who admitted that they have had patients that genuinely scared the hell out of them.

Are you ready to get creeped out?

Here’s what therapists said on AskReddit.

1. Threatening.

“I worked with a student who used to threaten us.

He’d stand directly behind me with a pencil and threaten to stab me with it. I’d remind him what would happen if he did, but otherwise didn’t flinch or try and look at him.

He’d get mad then and throw the pencil across the room. It turns out me and one other lady were able to sit stone faced when he was like that an she never did anything. He’d get way worse if he thought anyone was scared of him.

I was the lucky one, he’d threaten to stab her in the eye. I’d always joked that I’d rather not see it coming.”

2. Scary.

“I was genuinely scared of a 17 yr old client I had. They were adopted and then “given back” to child protective services.

They told me in session they had an entire plan to burn their house down. Down to the date and the time.

I was terrified.”

3. Take it seriously.

“In one of my first clinical placements I had a psychiatrist supervising me who would toss me cases without any meaningful review. One afternoon I went into a room to meet someone for the first time and was told they were “anxious.”

The individual was floridly psychotic and informed me shortly after I walked in that he was scared for himself and others because he was a werewolf and would be transforming that evening.

Apparently I did not respond quickly or meaningfully enough, because in almost the next breath he informed me that I was not taking him seriously enough, picked up the office lamp, and threatened to beat me to death with it.”

4.  Nice to me.

“The only client who scared me was one that was nice to me.

He was awful to everyone else on the treatment team and would never comply with services until I came along. He always greeted me with a smile and wanted to know what I did in my spare time. Asked personal questions. I lied about my entire life.

He would call me to chat about nothing sometimes. I could tell that it was all superficial, however. I would have to text my boss when I arrived at his home and when I was back at my car with the doors locked.

When I got pregnant I begged to be removed from the case.”

5. A tense situation.

“I was doing in home work during my first internship. I was working with a 16 year old male diagnosed with schizophrenia.

This kid was huge, like 6’9 and was jacked. He had assaulted three police officers that responded to a call about my client choking his mom. He threatened to r*pe his sister and pulled a knife on her as well. He had threatened to r*pe several other women.

He also assaulted a worker at an inpatient facility, he broke the dude’s nose. So my agency sends my *ss to work with the kid (I’m 5’1 and weigh like 95 lbs). While working with him he was pretty heavily sedated from all his meds when I met with him, so this made him slightly less scary.

He got up several times during our session and would start pacing. Every time he got up my heart was racing.

He was admitted to a group home so I only ended up meeting with him twice but this kid terrified me.”

6. “I don’t do therapy anymore.”

“I had recently graduated and was working with kids with an array of developmental disabilities.

There was one kid who was about 13, and he was a pretty big kid for his age. After a few sessions, it seemed like it wasn’t too bad. Common behaviors while more frequent, were no different than any other kid with a similar diagnosis. That was until I had to wear my knee brace one day.

I have a bad knee, and sometimes a brace helps. The next session after, he kicked my bad knee and then tried to choke me. If he tried escaping or aggressing, he always remembered to go for my knee. We continued therapy for a few months, until I had to leave for health (knee) reasons.

Apparently I handled it well and the company I was with continued to pair me with known aggressive kiddos. I had to go the doctor for an unrelated reason, and I had so many cuts and bruises the nurse asked if my husband attacked me.

I don’t do therapy anymore.”

7. Wow…

“When I worked with family court there was this super smart, super troubled kid who was in hot water for beating up a random guy on the street with a baseball bat.

Open and shut, surveillance camera caught everything. Apparently he didn’t know his victim, just a random act.

Anyways, he was being tried as an adult (he REALLY beat this dude up) and was being held in adult jail pre-trial. He was assigned a therapist and had a few sessions per week.

Long story short, one session the kid gets mad, grabs the chair he was sitting on, and beats his therapist within an inch of his life. I think the poor guy was on a ventilator for like a week.

Yeah, kid had some issues…”

8. Not worth it for you.

“My 1st job as a therapist in community mental health we had no “close time” & were expected to accommodate any & all late session requests from clients with no security, it was insane.

We had an incident occur with a coworker-her client exposed himself during session. At the next staff meeting we were berated & gas lit about safety “you should park closer” yet we would also get in trouble for parking closer & told those spots were for clients.

Needless to say I only stayed there about 7 months, daily crying & intense anxiety weren’t working out for me.”

9. Close call.

“I got this patient who witnessed his mom get stabbed by his father.

After that happened he only started talking about gore and threatening people. I worked with him for a month and he started getting way better. I started to get comfortable in front of him and so did he.

Then one day he comes into my office, he comes up to me and from his back he pulls out a knife. I barely have time to dodge the knife. The guard runs in to the office and grabs the kid.

He got sent to juvie and I quit after a week.”

10. She only get a year?!

“She told me she’d kill me for trying to shrink her and pulled out a knife and sat there looked her in the eyes trying to assert dominance I got out of that situation with a hole in my hand

She got 1 year in prison with a possibility of parole.

I quit my job 2 months later, my boss understood.”

11. Having an episode.

“My first ever client was having a psychotic episode, was homeless and had all of her belongings with her (a backpack filled with items and a duffle)

She proceeded to pull out a pair of kiddie scissors and cut off all of her dreadlocks and lay them on the table in front of me while talking about needing to get rid of the voices she was hearing.

This was all before I got her to even sign the paperwork ? she and I talked enough to get the formalities finished and she decided to take to locks and put them in her bag like nothing abnormal was happening. I was just glad the scissors went away too .

After that intake, she fell off the face of the earth. Never heard from her again. I was fully prepared to ask her to hand over the sharps and put them somewhere out of reach until she was ready to leave but I didn’t have to.”

12. Good thing Tom was there…

“Before I was a therapist, I worked for a brief time at a residential facility for youth with severe neurodevelopmental disabilities (eg, autism, intellectual disability) and behavioral problems.

All of our youth had a history of violence, most had experienced trauma, and 2/3 were in state custody. Also, this was a for-profit institution that was horribly managed and woefully understaffed.

I was on the older boys’ wing trying to get my group ready to transition to the next activity. Now, one of the boys in my group, let’s call him Jay, was pretty high functioning but had significant attachment issues. When new staff (like myself) would come in, he would quickly develop a favorite (unsurprisingly, it tended to be one of the few who would actually treat the residents as fellow humans worthy of respect).

Jay was funny and likeable and would generally do what you asked, with only a lil bit of sass, which honestly just added to his charming rapscallion persona. However, he’d gradually start to push boundaries, INSISTING that he be in that staff’s group (groups changed each shift for this exact reason), constantly demanding attention, acting out to try to get a reaction (one time he told me I would never get a boyfriend because I had a mustache ?), etc.

If he didn’t get his way, he’d get incredibly angry and upset. And then the next time you saw him, he’d be sweet as pie. Oh, and he’d also stabbed a previous “favorite” staff member in the face with a pencil…

So anyway, I’m trying to get my group ready to go, and Jay has been continuously saying my name for like 5 minutes. In order to reinforce boundaries and NOT reinforce his tantrums, I told him that I would be happy to talk when we were all ready to go and then started ignoring him.

I go into the room of a resident with more significant needs (eg, largely nonverbal, intellectually disabled), to get his shoes on, and I close the bedroom door so Jay’s yelling would be less upsetting to the resident. All of a sudden, Jay LAUNCHES himself at the door.

He’s spitting mad and he’s trying to get into the room with me. I don’t know what he had planned, but I knew it wasn’t a calm heart-to-heart conversation. So I put my whole weight on the door, fighting to keep it closed. Unfortunately, at 15, Jay is much bigger than larger than I am (which isn’t saying much as I’m 5’0″), and none of the doors have locks on them. It is not going my way.

He’s able to get the door open a crack, and I can see he’s smiling, like this has turned into a game to him. But he’s not less threatening or any more in control of his rage. I am freaking out and yelling for backup, but I can’t reach my walkie without letting go of the door.

Suddenly, out of nowhere, Jay gets full-body tackled and hits the ground with a thud. I take advantage of the opportunity to SLAM the door closed and send out a frantic emergency call on the walkie.

When I finally walk shaking out of the room, I see Jay, still spitting mad, is being physically restrained by staff members and sporting a brand new bloody lip. To my surprise, staff members are restraining another resident, Tom, who is sitting their calmly just waiting to be released.

Apparently, Tom had a history of witnessing domestic violence, and seeing someone try to hurt women was a huge trigger for him. So he had sprinted from his room, tackled Jay, and put him in a hold. (Tom’s parents thought that karate would help their oppositional, angry son more than therapy, so he knew what he was doing.)

Tom had to face the standard consequences for violence (eg, physical restraint until no longer a threat, loss of privileges for that day), but I made sure to thank him. I really don’t know what would’ve happened if Tom hadn’t intervened…”

13. 6’6”, 250 lbs

“I was a therapist for several years. I worked with a variety of patients of ages and diagnoses.

I worked in the community with violent offenders and s*x offenders. I worked with adolescents after suicide or homicide attempts. I worked with developmentally and intellectually disabled adults in rehab. I’ve seen quite the gamut. I had been in plenty of scary situations, but most of the time knew the patient themselves were never a concern.

The only time I was scared was when I had a couple come into my outpatient practice, my last of the day. The man was very large, about 6’6”, 250 lbs. They were having relationship troubles and it became evident he was abusive in about 5 minutes.

He was talking over her, interrupting her, and told her to shut up in a raised voice right in front of me. At one point he slammed the table and that knocked off a trinket. I think we had probably half of the session done at that point, but I ended things because I was scared. I saw the woman individually after that and worked to get her to a better situation.

I looked online after and he had several DV charges.”

Are you a therapist?

Have you ever had a patient that actually scared you?

If so, please talk to us in the comments. Thanks.

The post Therapists Talk About Patients That Genuinely Scared Them appeared first on UberFacts.