Breaking Confidentiality

“I don’t know what it is. If it’s a literal monster, or someone in the house, or… But her parents know about it."

Breaking Confidentiality
Photo by Sigmund / Unsplash

Prompt from DailyPrompt.com

CW: Mentions of a child being abused and assaulted.

“Child safety helpline, how can I help you?”
“H-hi.” The voice was faltering, and deeply uncomfortable, but didn’t sound urgent. “I, um, I’m calling to submit concerns I have regarding the safety of one of my therapy clients. I…”
They trailed off into a breathy sigh. Then resolutely continued “I am breaking my vows of client confidentiality.”
Casper clicked to open a new file. “Please, go on.”
“My name is Angelica Simmons. The child in question is Rosy White, nine years old. She lives at… hang on…”
Paper rustling, then the address was read and noted down.
“Her parents brought her to me after Rosy developed a bad bed-wetting habit. Their doctor had ruled out a physiological reason and told them to have Rosy checked for anxiety. Her parents really wanted Rosy put on sleep meds, which I didn’t… I told them that there’s all kinds of issues which can come out of long-term sleep medication use, especially for a child, and insisted we try…”
Another deep breath. Casper waited, his mouth a thin tight line.
“There’s a lot she wasn’t allowed to tell me. For a while all I could do was teach her stress management techniques. Breathing exercises and stuff. Then finally she confided in me, after making me promise over and over not to tell anyone. So… there’s another vow I’m breaking.”
Angelica gave a bitter half-laugh.
“But… the reason why I’m breaking all those promises… Rosy told me that a monster comes into her room at night and hurts her. She’s tried hiding. It always finds her. She doesn’t know what it looks like, she’s not allowed a nightlight and her parents insist on her lights being off at bedtime. The monster never leaves bruises, and she couldn’t describe how it hurts her, because she broke down into tears whenever she tried.”
Her voice was shaking now.
“I don’t know what it is. If it’s a literal monster, or someone in the house, or… But her parents know about it. And, and their response is to threaten her never to tell anyone, and try and drug her so she’s unaware and… even more helpless. She’s nine and not even safe to sleep at night, and I can’t - I don’t know what to do.”
“You’ve done exactly the right thing.” Casper spoke soothingly while pulling up chats and firing off alerts. “And - while I appreciate this assurance might feel a little hollow in this instance - your involvement here is strictly confidential.”
Another half-laugh. This one relieved. “Thank you. I… I really hope this is some terrible misunderstanding. But I, I couldn’t take that risk.”
“Absolutely right.” Casper steepled his spindly fingers, his amber eyes narrowed to catlike slits. “And, while we are loath to give promises, I can assure you that for all our… foibles… fey never allow a harmed child to fall into cracks. We will find out what is tormenting Rosy, and we will resolve it. Whatever that entails. Please, rest easy.”

Prompt was “Write a story about a therapist who breaks client confidentiality.”

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