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Malingering and Addiction in the Treatment of Sleep Disorders
According to the National Sleep Foundation (2013), about 30-40% of the general population reports some level of insomnia during their lives, and 10-15% experience significant, chronic insomnia. For these individuals, medications to help induce and sustain sleep may be helpful. On the other hand, sleep aids pose potential concerns, namely abuse. Some people exceed recommended doses, and some continue taking medications even after symptoms are no longer present. Others obtain medications under false pretenses, which is one form of malingering. Malingering occurs when clients make up or exaggerate symptoms for some personal gain. Although mental health professionals may not be directly implicated in the client's deceit, their unique position to receive more accurate and honest information than other medical professionals presents ethical concerns.
Question 1: What is the mental health professional's role in these instances? In which instances would it be appropriate to break confidentiality due to a concern of malingering? How could the malingering potentiality be planned for and avoided?
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