Psychiatrist/psychologist question regarding escorts

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Escorts were SUPPOSED to be escorts. Like everything else, they branched out. Still, that IS illegal, so soe may not have gone that far. And psychiatrists DID have things preventing them from doing it prior to HIPPA. HECK, even HIPAA didn't really add the concept, but codified it.

Still, one wonders if this info is even protected by HIPAA anyway. It wasn't done to protect that kind of information.

Let's see, to answer your questions:

a) Of course escorts are prostitutes (or sex workers, if you prefer) anyone who has sex in return for money is a prostitute. The only difference is in the employment and marketing structure. Personally, if I ever needed to pay for sexual services I would rather go to an independent as, just as an escort is a prostitute, I am rather afraid an escort agency is a pimp, and I would personally hate my money going to one of those.
b) It is totally illegal and unethical for any qualified MD to report you to the Police for anything, a psychologist is only entitled (and often obliged) to report you in the event that he comes into information that might prevent a serious felony.
c) If your shrink judges or condemns you for anything as harmless as paying for sexual services, change you shrink, because such an overall judgemental attitude is not acceptable in a therapist or shrink, even by their own professional standards.

M

Last edited by mechanima on 10 Sep 2007, 12:04 pm, edited 1 time in total.

I think you are being paranoid on this issue.

I would say that the "Jewish-sounding-last-name" bit is completely irrelevant, except that my experience is that group is less likely to be rigidly opposed to all sex outside of marriage, less likely to get their blood pressure up when an single person admits they are looking for an encounter from an escort. They may or may not personally agree, but I really doubt it would motivate them to go to the authorities and risk professional censure for violating patient confidentiality. Most professionals separate their personal lives and choices from the patients pretty well - they have to, they are seeing all kinds of people. Their job is to provide insight and advice for people that want to improve, not to enforce jay-walking rules or help the IRS zap the guy who has a guilty conscience because he long ago claimed an extra $1000 deduction on his taxes. If you plan on assaulting or murdering someone, they will go to the police. Otherwise, not.

There are some people that advertise themselves as "Christian Psychologists" or similar, and they are pretty upfront about mixing their religion with their practice. They might enlist the police power of the state to protect you from Lucifer, but that is a very different type of therapist.

If the original poster is so concerned about confidentiality, privacy, and other such issues.....
why is he posting all this on an easily accessible forum? This is mad!

LOL - I am assuming that he believes that the Feds are not ordinarily interested in enforcing the vice laws, and that his local law enforcement is not tracking all IPs for all internet messages and looking for guys that admit to such things as he did.

Do you seriously believe that? Here's the real reason why I made this thread. I'm worried that the therapist I'm planning to see will turn me in to the police when I admit to him that I'm seeing escorts. Why would he do that? Because of his stupid moral superiority attitude. In the worst case, I'll get arrested because someone didn't think my morals are high enough. In the best case, the police will contact me (using the information they got), and threaten me to give them the names of all the escorts I saw. In either case, I'll lose. So maybe I should forget about seeing a therapist altogether. I heard a lot of stories about bad therapy experiences from people here on WP.

Just tell him you travel to Nevada every month.
You really need't worry on this one. Seeing an escort is really mundane compared to what most shrinks have to hear about,theres not too much that shocks them anymore, and if seeing an escort and "getting some" are the worst things you've done, your doing allright.
Plus its like everyone on here has told you. Your not killing yourself, anyone else, and your not abusing anyone so they can't say anything by law.
Plus your supporting some escorts family, $300.00 is a lot of money, they shoud thank you for helping the economy

Right. And the person who wondered why you would post thought maybe that it was a risk to put something on the internet to confess a person was even considering it. But I don't think that it is such a risk. The big-government people that monitor everything are not interested in such a thing - they are pretty much kept busy trying to spot terrorists and child-pornographers. And the locals that enforce the vice laws don't have the resources to monitor everything and are not going to go through the paperwork needed to find out who you are. They might occasionally look at the forums that are specific to their region and see if anyone is too transparent in trying to buy or sell and call the phone number. But they are understaffed and underpaid and not looking here.

If you think your therapist is too self-righteous, ask for a list of names for a referral, or do your own work and find someone else. I personally think that they would not call the police for all the reasons that others have mentioned. Or don't tell that person.

And even if the police knew that someone was a potential client for these services, what would they do? They can't follow you 24/7. They will continue to act the way they always do - they set up stings in areas where there have been complaints or crimes, and they will try to catch a few men when they come right out and ask for sex on the street. They will advertise this to the media to act as a deterrent and win political support from the residents or business owners in that area.

If you hire an escort to go on a date, and something develops out of it, no one is going to bust you. The negotiation of sex for a price is the only place where you are legally vulnerable. If you come right out and ask for it (and if that person happens to be an undercover cop), then it would be an issue. But if you wine and dine her, build up to it, ask for a massage without specifying where, give ambiguous requests for more attention, etc. then it can develop into something where you are not so vulnerable.

If you want to avoid all legal issues, travel to Nevada or the Netherlands. Yes, I know, it costs money to travel. But if you are in a jurisdiction where something is illegal, and concern for those laws is causing you a problem, and you are going to do something anyway, then one possible solution is to travel where you can act without worrying about the police.

Surely he can only be prosecuted or whatever if he's CAUGHT DOING whatever is illegal? Not talking about it. You can talk about how you smoke weed occasionally but that doesn't mean you can get prosecuted for it.

Here's an idea. Fire the therapist with the "stupid moral superiority attitude" and hire a professional (and legal) sex surrogate. AS certainly qualify medically for this service.

Worth checking out. But it seems like medical marijuana for people doing cancer chemotherapy - a good and compassionate idea, but still not clearly legal and it seems to be rare outside of California, or underground.

Article on Sex Surrogates in The Wave Magazine

Actual sex need not be involved, though that level of intimacy could easily be arranged much more effectively than through "escort" services. If the OP is seeking psych therapy and also avails himself of the services of escorts, perhaps seeking a qualified sex surrogate would be the obvious middle-ground. Certainly if he expects a judgemental attitude from his therapists. Then again maybe he prefers keeping these two parts of his life separate or otherwise wants to keep his current escort relationships. Just an idea, as I assume the escort service is a form of self-prescribed social therapy for AS.

If a man or a woman has sex with their client for money, they aren't an escort, they are a prostitute.

I'm sure there are plenty of legal law abiding escort services out there. Why not call a spade a spade? You are going to prostitutes, not escorts.