Difficult Patients

Question 1

Examples of difficult patients

Answer 1

Special positive or negative feelings in a physician

Evokes anger, frustration, anxiety, guilt or dread

Ungrateful or frivolous

Psychiatric conditions or somatic complaints

Abrasive depressed

Is addicted

Is seductive or self-destructive

Question 2

how to treat Dependent clingers

Answer 2

High utilizers who often overstay their appointment, call frequently and are somatizers (make up shit)

Set limits on how much you can do during appointments, yet make tons of them

Question 3

how to treat Entitled demander

Answer 3

Acknowledge their need to receive good medical care while respecting their therapeutic boundaries

They need to feel special but dont indulge it

Question 4

how to treat Manipulative help-rejectors

Answer 4

Acknowledge pessimism as their viewpoint and set associated boundaries to try and avoid rescue

Question 5

how to treat Self-destructive deniers

Answer 5

Accept patient denial as disabling and a cognitive defect

Lower expectation to delving perfect medical care

Question 6

Possible conditions associated with difficult behaviors

Answer 6

Mental illnesses

Personality disorders

Addiction

Social problems

Chronic pain, headache or chronic health issues

Question 7

Ethical pitfalls of difficult patients

Answer 7

Abandonment

Confidentially

Boundaries