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Counseling Discussion on Virtual Reality
Instructions:
Review the case below and respond to the following questions (they may also add information needed to work through your EDM):
Mental Health Case
JC is a 48-year-old single, heterosexual male inventory clerk who lives alone. A resident of Austin, Texas, he has sought online counseling from Gene Stanton, a licensed mental health counselor residing in Los Angeles and holding licenses in New York and California. Counseling sessions were scheduled on a weekly basis through video conferencing calls via Skype. Because there is a 2-hour time difference and JC works until 5:00PM Central Time, Gene did not meet with JC until 6:00PM, which was 4:00PM in California. JC’s presenting problem was an inability to forge lasting personal relationships. He was married once before for 6 months, after which his wife filed for divorce.
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It has been 6 years since the divorce, and JC maintains that he has been unable to date anyone else for more than a couple of times. “No one ever likes me. At first they seem to be interested but then they refuse to go out with me. I know I will never find anyone.” After 4 weeks of counseling, JC began to express suicidal ideation. “There is nothing to live for. No one will even care if I die. I have a dead-end job and a dead-end life. I can’t go on any more like this.” When Gene asked JC if he is thinking of hurting himself, JC paused a moment and then said,
Counseling Discussion on Virtual Reality
“Yes. I don’t want to live anymore.”
“Do you have a plan to kill yourself?” asked Gene.
JC pauses again. “I have some sleeping pills. It would be better that way,” said JC.
- Is virtual counseling (telehealth) permissible across state lines in your state?
- Is the technology Gene chose HIPAA compliant, what might be a better platform for him to use?
- Informed consent is part of every counseling interaction – how does it relate to this case?
- Using your EDM, how would you resolve the ethical dilemma? Briefly share your response to each step.