#1

Part of the eval is discussing the crime and assessing remorse and whatnot. He was so clinical in his description of how he tortured and left this guy to die over an unpaid debt. “Live by the sword, die by the sword” was his phraseology for the act. Like it was nothing.
He was also very nonchalant about his ability to “take care of his business” while inside. I believed him. He had only spend 18 months of his last 15 years outside of prison.
My recommendation was not to parole him. There were various factors that I gave and in the end the parole board went with my recommendation.
So the part that actually scared me (this was my first parole eval) was this guys ability to affect the world outside. He could have sent someone to my house if he wanted to. I had no doubt about that. More experienced psychologists told me not to worry about it. That he knew the score and wouldn’t take it personally. I had a hard to buying it.
I was running a long term offender group a few months later and he was part of it. After the first group I pulled him aside and asked if we were good. He smiled at me and told me not to worry. I did my job and he didn’t blame me for writing what I did because it was true. He went on to be a really insightful and active group member.
#2

Why those particular details? Because he would practice his kicks EVERYWHERE, was mostly blind, and the one time he flipped up to practice one and I was walking around the corner, it came literal centimeters from my face, and I FELT the impact of it against the air, like a physical force bashing into my face. Sweetest kid in the world, he would have been horrified if it had connected, because things would have broken. A lot of things. He also grabbed my arm once in a suddenly firm grasp and asked if I wanted to do taekwondo with him. No. No I did not.
#3

Especially in the US, there's a lot of situations in which psychologists cannot help because the problems their patients are facing involve justified and realistic fears.
Resilience is a skill that many of us could probably stand to improve. Being able to handle (most of) the problems that life throws at you is massively important. The Ontario Psychological Association states that resilience depends a lot on your personal traits, as well as external factors.
For example, optimism can help you maintain a positive mindset in the face of adversity. Meanwhile, a growth mindset allows you to see challenges as opportunities to learn and grow. It also allows you to improve your emotional intelligence through dedicated effort.
Another factor that’s greatly important for resilience is the social support network that you have. To put it bluntly, when you have a group of people who can not only emotionally support you but also offer practical help, it makes life much easier. Plus, you get the added bonus of feeling like you belong to a community, an innately human need.
Then, there are coping strategies you can use to weather life’s challenges better. For instance, good emotional regulation, through mindfulness activities and self-awareness techniques, is a godsend. “People who are emotionally resilient can handle challenges without their negative emotions consuming them.”
#4

With one exception...I had a client that was pretty strong and prone to intense tantruming. This client was acting in a way that was unsafe (had a plan to seriously hurt another resident I think?) so I had to put them on restriction (within staff eyesight at all times). Their response was to run up to me and attempt to choke me. Luckily the staff got there in time and prevented this kid from seriously hurting me. On another occasion, this same client also took apart their curtain rod in their bedroom and swung it at my head (I dodged in time). Oddly enough, this client and I had a pretty good relationship the other 99% of the time and I generally enjoyed working with them.
#5

It involved a guy who kept asking this girl out, she made it clear numerous times that she wasn't interested, but the guy wasn't having it and just kept harassing her. Finally, one day he followed her home where he stabbed her parents and the family dog to death.
I don't really want to hear about any of his other cases.
#6

Verywell Mind points out that resilient individuals are emotionally aware, persevering, optimistic, have a good sense of humor, have social support to fall back on, learn from their mistakes, and are spiritual.
Resilient individuals also have an internal locus of control. Namely, they believe that they are in control of their lives, rather than outside forces controlling them. “This trait is associated with less stress because people with an internal locus of control and a realistic view of the world can be more proactive in dealing with stressors in their lives, more solution-oriented, and feel a greater sense of control, which brings less stress.”
Meanwhile, if you want to build your resilience, you can:
- Prioritize your relationships with other people and build connections;
- Manage your thoughts and keep a hopeful outlook so that you embrace setbacks and change;
- Take care of your mind and body by getting plenty of rest, being physically active, eating well, and avoiding unhealthy habits.
#7

#8

#9

He came in straight from court and sometimes we didn't receive the details of the offences before we met with them. This was one of those times. I called him into the office and started going through his paperwork - rules and restrictions of his order, how often he had to report, etc. He started requesting a male officer and stated that he hated females and got along better with men because they "understood him". At this point, I still didn't know what he had done to be on Parole and he did not want to disclose anything. He spent about 30 minutes talking about how he was the victim of the crime and that females "had it out for him". He was very hostile and kept looking at me with a disgusted look and sat with his arms crossed.
The paperwork finally came through about an hour into the meeting. He was on for some *very* serious and disgusting offences against females. I then let him know that I had received the paperwork and asked him to discuss what had happened (we were asked to get their version of events). It was like something switched and he suddenly became very happy and almost proud of what he had done. He kept standing up and acting out what he had done in detail while smiling the whole time and asking me what I thought of it all. Without going into detail about his offences, it was very graphic and hard to hear, and the fact that he appeared to be so proud of it was just chilling. He also kept asking whether I thought he was the victim of the crime and at one point asked me if I had any contact numbers for victim compensation for himself.
Towards the end of the meeting, he was trying to charm me and kept asking me what time I was finishing work and whether I was parked near-by. I left with a group of my colleagues that day. He ended up back in jail about a month later and while I am all for rehabilitation of offenders, I sincerely hope he stays in there.
Do we have any psychologists, therapists, or other mental health specialists in the audience today? If so, what is genuinely the scariest patient interaction you’ve ever had in your line of work? How did it affect you afterward?
And for everyone else, have you ever been in therapy? Did you feel like you could fully open up? If you feel like you’d like to share a bit about your experiences, you can do so in the comments below.
#10

He had just started meds and the meds reacted HORRIBLY with him for whatever reason. He mostly had hallucinations, but sometimes he’d black out and do activities and not remember them. He would call me screaming at 3 AM and he didn’t remember a SECOND of it. Any of it. He had hallucinations before, but they got increasingly dangerous with these meds.
In particular, I think of one instance. While on the phone during an episode, he said, “I boiled some water.” I asked why, as it was 3 AM, and he replied eerily calmly “they told me I have to stick my hand in here.”
It was absolutely terrifying. I finally begged him to go to the hospital that following morning to ask for a medication change and he begrudgingly obliged.
While he was there, he started throwing up blood and had to get his stomach pumped. Turns out, in one of his black outs, he swallowed his entire bottle of medication.
#11

#12

#13

One kid assaulted a girl in his class. At school. In front is a bunch of other kids. He actually got arrested for it, but the school couldn’t expel him “because of his disability.” For the rest of the year, he was forbidden from being anywhere (including the lunchroom) with her. I spent a lot of time essentially babysitting this kid. And because he didn’t give a f**k about school, he did practically nothing during his time in the resource room. The last I heard, he’d been arrested again for breaking into someone’s house and stealing a handgun.
But the one who scared me was completely antisocial, to the point of threatening to hurt himself or others when a field trip or school assembly was coming up (we eventually had to tell his parents in advance so they wouldn’t bring him to school.) He talked about death constantly...all while extremely medicated, so it was a very muted, mumbled, and done through a thousand yard stare with spittle coming from his mouth. One of the teachers was pregnant (she wasn’t his teacher, but he knew who she was) and one day he asked me “Would Mrs. X’s baby live if someone ran her over in a car?” I told him I didn’t know and tried to change the subject. Then he asked “What if someone cut her stomach open? What if they stabbed her? What if she had been dead for awhile and no one found her?” This really freaked me out, and I had to report it to the sped teacher. When I told her, she said he had asked her and other students the same thing and scared the s**t out of them. She said the pregnant teacher had been advised to avoid him, in case he did or said anything to upset her.
#14

She had to be taken off a case because she was so uneasy, disturbed, and threatened by one of her clients. Apparently this guy was either a serial r*pist or m******r (She couldn't give lots of details), but he has a victim profile and she fit it. He started to behave strangely towards her, trying to converse with her and 'get to know her'. He would write her letters and draw her pictures, and attempt to give her tokens and things. All the things he would do to his victims (well, everything possible under the circumstances).
She was so upset and disturbed by his special attention that she was even afraid at the grocery store and started to feel uneasy in her home at night. Despite the fact that this guy was locked up in a maximum security prison. She described it like a hunter/prey vibe on a really weird animalistic level.
She was taken off his case and received counseling. When she told me about it, she was very honest and matter-of-fact; this is a hazard of the job she works. While she may talk about her patients as if they are lab rats, this was one case you could tell really got under her skin and spooked her.
EDIT
obviously giving tokens and letters is not only creepy but violates the doctor-patient relationship. She would decline very firmly and clearly, and I guess maybe some stuff was intercepted before he had the chance to try and actually give it to her? It's been about 10 years since I heard the story but it stuck with me.
#15

1. Severely schizophrenic 16 year old teenage boy who was around 5 feet tall, 90 lbs, would get put into a straight jacket during one of his “episodes”, and he could physically take down the 6’3’’ 230 lbs male tech...while being in a straight jacket. He would speak in voices that almost sounded “demonic” while doing it. It was horrifying.
2. Severely schizophrenic 17 year old girl would hide in a corner, wait till her “targeted” worker would walk by, stick her hands down the front of her pants into her v****a, grab a handful of period blood, and smack us across the face with the blood. She did this to me more than once and I had to go to the hospital more than once (during work hours) to get tested, especially when the blood would get close to our mouths and eyes.
3. Very sweet, but very non verbal 13 year old boy would masturbate, constantly. Constantly. Pants down, p***s out, masturbating, all day, all night, in front of everyone and anyone. He had elephantiasis of his p***s and part of one of his legs, so these events were not only disturbing and inappropriate, there was literally a practical problem with him taking his 1.5 foot long p***s out of his pants - it seriously took 2 people to pack it back in, and then he would drop his pants and take it out all over again.
#16

#17

Honestly, we had girls who had a history of animal abuse/murder, arson, violence, etc...but the ones who scared the absolute s**t out of me were the manipulators. Now - all of them would “manipulate” - but not to this capacity. One girl had a history of accusing - with such incredible detail and story consistency - men of r**e/molestation, that she utterly ruined lives and broke up families with her convincing lies. As a male, rule of thumb is never be alone in a room with any one girl. With this girl, I couldn’t even be in the same room without my wife also present and cameras consistently monitoring our interactions.
#18

#19

#20

Luckily we were able to calm the situation down, but things like that can end badly, and you always have to be aware of that possibility when emotions run high.


