The doctor: “You’re right.”
The context:
- be me
- finally a practicing doctor after an eternity of school
- on my way to the next patient
- overwhelming stench of B.O. as I open the door
- try my best to hide my disgust and ask how he’s doing
- patient goes on a rant about how life is unfair, something about jewish people and 13%
- just nod along as I pull up his info
- guy is clearly depressed
- suggest ssri’s to improve his outlook on life
- youveactivatedmytrapcard.jpg
- guy proceeds to spend 20 minutes talking about how he saw a post online saying ssri’s are bad, it’s mind control, and he mentions jewish people again
- already 5 minutes late for my next patient
- nod and agree and tell him to have a nice day
Why can’t these people understand I’m just trying to help them?
Anon, I’m respectfully advising you to think about this interaction and reflect more on it.
The doctor’s internal monologue: “Oh God it’s one of these assholes who did 10min of googling and reading forums and thinks they know every single thing about medical science. Fuck fuck fuck he won’t shut up I shouldn’t have suggested that. OK, deflect, call him smart and move on that’ll get him to shut up finally”
“If I push on this, I will alienate myself from this clearly mentally unstable patient and at that point there is no chance to help them”
It’s literally how mental health professionals are trained.
De-escalating with mentally troubled people.
Step 1: agree with them
Step 2: Patient is now the president
Imagine if someone snuck some therapy pills into the president’s cofifeffifeffee.
reminds me of that film where someone puts LSD into the water of some military base. Then everyone chills and start rolling in the grass, smelling flowers or smt.
Men Who Stare At Goats?
Doesn’t surprise me, and that’s actually quite smart.
You’re right.
It depends on the reason for their agitation. If they’re having a paranoid moment then you need ti tell them the truth to help them out of it.
If you lie they might pick up on it and that kills the trust they have in you.
You don’t have to press them to take meds they don’t want to take, but if you lie about why you’re stopping (“maybe you’re right”), instead of telling the truth about why you’re stopping (“I don’t want to break our therapeutic connection by pushing you”), it can make things backslide.
In this image: Anon doesn’t know how to read subtext
What the doctor said: “It seems you’ve done some research. It’s true that medication often has side effects, but this is not always the case and is often outweighed by the benefits. Let’s set that option aside for now, and revisit later.”
What anon heard: “Wow, you avoided my dastardly trap! I’m going to have to be more careful around you.”
Or… God dammit, another person seeking to abuse benzos. That’s like half of all new appointments for psychiatry. The minute the patient goes on a rant about SSRI, you can guess where they are directing the conversation to.
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There is, but this ain’t it
All problems can be medicated
Medicine often plays an important part in the holistic model of treating problems if prevention has already failed, yeah. Not totally sure what you’re trying to say here
It’s said in irony, and no, you can not medicate away all your problems even though some seem to think different
No one here is saying you can medicate all your problems away. I’ve genuinely never met anyone who claimed you could
Well, that’s sort of the implication of the post…
Not even remotely.