re: Will MDs PEC someone if they're not a danger to themself/others?

We will also discuss limits to confidentiality up front with patients, telling them that everything we discuss is confidential unless they are (in a nutshell) planning to hurt themselves, hurt someone else, or give us any information about abuse towards a child, disabled, or elderly person.

At this point they still have to tell us something for us to be able to act on it.

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It's possible to PEC someone without them being a danger to self or others, but they have to be exhibiting behaviors that severely disrupt their daily lives. It's really up to the physician, if it's a minor and parents lobby hard then many docs will do it. I'm a psych RN, fwiw.

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This. I work in the ER and the last patient we had PED'd wasn't necessarily a threat to herself or others but the family was at its wits end. She had a hysterical episode and was brought into the ED by EMS with restraints. The doc was going to let her go after having a discussion with her, but then we talked to the family and it was apparent that her psych issues were taking a toll on the family (especially the children) and it was decided that we would keep her in order to do a full evaluation and start treatment.

The most important thing, though, is having supportive family that will help ensure the person gets the outpatient support that they need.

If she is borderline, I agree, run for the hills. I dated a girl with BPD for 4 years, and it was hell. According to mutual friends, she's still nuts. It dies down a bit around 35, but I wasn't going to suffer that long (and yes, as family/friends/SOs you do suffer).

I'm the aunt by marriage but have relayed this to the "real" aunt who is closer to the situation than I am. If her parents/husband don't do something then I at least tried. I'm too far and not clued in on everything to actually do anything.

This all sounds like a good way for a doctor to fabricate some reasons to kill you and send you off for harvesting for the organ transplant list.