Peer Reviewed
Psychological medicine

Dealing with the dependent patient

Jeffrey Streimer
Abstract
Doctors need to assess and reassure dependent patients about their symptoms while treating only the observed signs.
Key Points
    Remember
    • Dependent people have low self-esteem, making them submissive, clinging, indecisive and very trying.
    • Doctors may be idealised by their dependent patients and invited to ‘rescue’ them by providing all the answers. Dependent patients can make you feel very important.
    • Setting and stating realistic limits for the doctor–patient relationship safeguards against the doctor ultimately becoming frustrated or rejecting.
    • Some dependent patients are ‘lifers’. Having continuing problems guards them against treatment termination. Therefore, assess and reassure patients about their symptoms, but treat only actual observed signs.
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