What should a psychologist do if they suspect child abuse during therapy sessions?

When a psychologist suspects child abuse during therapy sessions, the appropriate course of action is to break confidentiality and report it according to the law. In Massachusetts, as in many other jurisdictions, mental health professionals are mandated reporters, which means they are legally required to report any suspected cases of child abuse or neglect to the appropriate authorities, such as the Department of Children and Families (DCF).

This requirement stems from the ethical obligation to protect vulnerable populations, especially children who may not be able to advocate for themselves. Psychologists must prioritize the safety and well-being of the child, which necessitates taking immediate action rather than discussing suspicions openly with the child or confronting guardians. These approaches could potentially compromise the investigation or put the child at further risk. Waiting for the child to disclose additional details is also not advisable, as it could delay necessary protective actions and further endanger the child. Consequently, breaking confidentiality in accordance with mandated reporting laws is both a legal requirement and an ethical responsibility of the psychologist.