Law and Ethics Practice Exam

In a case of postpartum depression with a client who has a history of self-medication, what should the therapist prioritize?

1. Report the positive toxicology report to CPS and document it in the record

2. Obtain a signed release to contact the MD and assess for risk

3. Refer client to a substance abuse treatment center for an assessment

4. Obtain a signed release to contact the husband and MD

The correct answer is: Obtain a signed release to contact the MD and assess for risk

In cases of postpartum depression, particularly where there is a history of self-medication, it is essential for the therapist to prioritize effective communication and collaboration with the client's healthcare providers. Obtaining a signed release to contact the MD allows the therapist to assess the client's medical history, understand any potential risks associated with medications, and ensure the client receives comprehensive care. This collaboration can help in creating a more holistic treatment plan that addresses both the postpartum depression and any substance use issues. While considerations regarding substance use are vital, and communication with family members, such as the husband, might also be important, the focus here is on establishing contact with the medical doctor to directly evaluate the client's health and safety concerning their mental health and potential substance use. This approach ensures that the therapist is working with all relevant parties to provide the best care and support for the client.