Whether a psychotherapist owes a duty to protect an identifiable third party from a patient’s threatened violence.
Holding
Yes. When a therapist actually determines, or under professional standards should determine, that a patient presents a serious danger of violence to another, the therapist must exercise reasonable care to protect the foreseeable victim.
Reasoning
California negligence law generally requires reasonable care toward persons foreseeably endangered by one’s conduct. Although a person ordinarily has no affirmative duty to control another person or warn of that person’s conduct, a duty can arise from a special relationship with either the dangerous person or the potential victim.
The therapist-patient relationship is a sufficiently special relationship to support an affirmative duty to protect third parties from dangers arising from the patient’s condition. A therapist who undertakes treatment becomes sufficiently connected to the risk to bear some responsibility for persons the therapist knows are threatened by the patient.
The duty is not a duty to predict violence perfectly. A therapist is judged by the reasonable degree of skill, knowledge, and care ordinarily exercised by members of the profession in similar circumstances. Within the range of professionally reasonable judgment, a therapist is not negligent merely because hindsight shows the prediction was wrong.
On the pleaded facts, the central allegation was not simply that the therapists should have foreseen danger; it was that they actually concluded Poddar intended to kill Tatiana. Once the therapists knew, or reasonably should have known, that he posed a serious danger, they had to use reasonable care to protect her.
Reasonable protection is flexible rather than mechanically defined. Depending on the circumstances, it may require warning the intended victim, warning others likely to notify the victim, notifying police, or taking other reasonably necessary protective steps. Notifying police alone does not necessarily satisfy the duty if the therapists know the patient remains at large and dangerous.