Online discussion forms can be an interesting place. Take for example a thread of discussion about an older gentleman who was weeping in therapy. The psychotherapist posted the question "what do you make of weeping in a case of an [older] gentleman with major depression who has been seen in therapy [a handful of times]?
The range of responses are interesting. The original poster commented that in many years of clinical experience, they have never seen a person with major depression weep. Others have pondered if there is some sort of unexpressed grief, while many others talked about us living in a culture where men don't cry. Others have questioned if there is some sort of underlying medical disorder that is causing the weeping. The most useful comment is the most recent: "Have you thought about asking the patient why they are crying?"
My first thought is that I think every psychotherapist needs to think twice about having discussion about current patients anywhere on the internet. The second thought of the psychotherapist should always be "no, I'm not going to discuss this online." Supervision is great, peer supervision is great. Internet discussions with strangers about patients is nothing more than gossip. We owe our patients more than that. In fact, our ethics require us to offer our clients more than that.
My third thought is about weeping. What a ridiculous question. Did you know one of the first things that comes up on a search of 'weeping' is a site that lists 52 medical causes for weeping. Have we really turned a normal human emotion and behavior into a disorder? Really?