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If a client discloses intentions to harm themselves or others, therapists are obligated to conduct a risk assessment. This may involve contacting authorities, especially if a clear plan is communicated. Many parents worry about discussing intrusive thoughts related to harming their children, fearing that this might compromise their parental rights and invoke state intervention.

The Nature of Intrusive Thoughts

Intrusive thoughts are unwanted, often distressing ideas that can plague anyone, particularly new parents overwhelmed by the demands of raising a child. Many clients express fears that are paradoxically reassuring—if they are worried enough about these thoughts, they are unlikely to act on them. Such thoughts are common and part of the human experience.