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Thomas G. Gutheil, MD

9 Tips to Maintain Boundaries in Clinical Practice

March 31, 2017
  • Thomas G. Gutheil, MD

The points summarized in this pocket guide—drawn from actual cases—recur repeatedly as problems for practitioners.

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Breaking Up Is Hard to Do: Terminating Therapy Before Things Get Out of Hand

June 30, 2012
  • Thomas G. Gutheil, MD

Cases that come to our attention as malpractice claims, ethics claims, or Board of Registration complaints raise the question: why did the treating clinician not terminate the treatment before things got so out of hand?

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Grand Rounds—Boundary Issues in Clinical Practice

May 8, 2012
  • Thomas G. Gutheil, MD

Psychotherapists have fiduciary power and—from a risk management perspective—the clinician must act in a manner in which misconduct cannot be inferred. In terms of boundary violations, some preventative measures (like psychodynamic education) can be taken.

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Empty Words in Psychiatric Records: Where Has Clinical Narrative Gone?

December 17, 2011
  • Thomas G. Gutheil, MD
  • Robert I. Simon, MD

Here we address some of these problems of meaningless phrasing, empty shells, and template-distorted recording in an attempt to improve clinical documentation for both clinical care and risk management.

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Podcast: Psychiatric Records—Careful of Those Empty Words

December 14, 2011
  • Thomas G. Gutheil, MD

In this podcast, Dr Thomas Gutheil talks about a key challenge facing psychiatrists. . . valid medical record keeping. Here: important tips from an expert based on an article he coathored with Dr Robert Simon.

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A “Pocket Guide” to Avoiding the Most Common Boundary Pitfalls

March 3, 2011
  • Thomas G. Gutheil, MD

Here is a “pocket guide” for clinicians drawn from actual cases. With some modification, the list could become a patient information sheet or office policy.

  • READ >>

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Subtle Signs: Obstructive Sleep Apnea

Current Issue

Psychiatric Times Vol 36, Issue 11
Nov 18, 2019 Vol 36 No 11
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