Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Be emotionally intimate with your patients

Pamela Wible, MD
Physician
January 27, 2014
Share
Tweet
Share

DSC5475-2-1024x839

A new patient calls for an appointment. I ask, “What would you like to come in for?”

“Depression. Two weeks ago my doctor put me on antidepressants.”

“Why don’t you see your current doctor?” I ask.

“I feel weird discussing my emotions with someone who doesn’t have any.”

When doctors are fully present, vulnerable — even emotional, patients are more likely to be honest, transparent, and open. Sexual intimacy is, of course, inappropriate between patients and physicians, but emotional intimacy is essential in any healing relationship.

What patients really need is a human being who is being human, a whole person who sees the patient as a whole person. On her way out, a new patient says, “I feel like I just got a physical, met with a marriage counselor, and had a spiritual awakening.” We could all have comprehensive, personalized care, but here’s the paradox: We resist what we most desire: Intimacy. Intimacy means “in-to-me-see.” It’s when we see so deeply into another, that we find our own reflections and discover ourselves.

Beatrice, an elderly woman calls for a Prozac refill. I remind her of my office policy: no refills between appointments. She screams, “None of my other doctors made me come in. What’s wrong with you?” Upon arrival for her appointment, she’s fuming. After thirty minutes, Beatrice breaks down and shares how difficult it has been since her husband died last month. She feels isolated and scared. With tears in her eyes, she hugs me and then thanks me for getting her out of the house.

It’s Friday night when Christie calls for an antidepressant. I pick up on the second ring. “Hello, how can I help you?”

“This is the doctor? It’s almost midnight and you answered the phone!” Frazzled, Christie tries to explain herself. “Things are kind of tough right now, Pamela. I was just calling so you could prescribe me some antidepressants.”

We talk about her mother’s death and the challenges of raising her autistic child.

“Christie, I’m happy to see you Saturday morning.”

“I just can’t believe you answered the phone. I’m so excited, I don’t feel depressed anymore.”

Being emotionally available and accessible is healing. Sometimes I think maybe I am the antidepressant.

ADVERTISEMENT

Pamela Wible pioneered the community-designed ideal medical clinic and blogs at Ideal Medical Care. She is the author of Pet Goats and Pap Smears.

Prev

Doctors should ask about financial safety

January 26, 2014 Kevin 20
…
Next

What medical training can learn from placebo research

January 27, 2014 Kevin 3
…

Tagged as: Primary Care

Post navigation

< Previous Post
Doctors should ask about financial safety
Next Post >
What medical training can learn from placebo research

ADVERTISEMENT

More by Pamela Wible, MD

  • When health care professionals lose everything

    Pamela Wible, MD
  • Surgeon suicides: Unveiling a silent crisis

    Pamela Wible, MD
  • 13 tips for depressed doctors who need confidential mental health care

    Pamela Wible, MD

More in Physician

  • The erosion of evidence-based medicine: a doctor’s warning

    Corinne Sundar Rao, MD
  • Rethinking opioid prescribing policies

    Kayvan Haddadan, MD
  • A lesson in empathy from a young patient

    Dr. Arshad Ashraf
  • How online physician reviews impact your medical career

    Timothy Lesaca, MD
  • Why midlife men feel unanchored and exhausted

    Kenneth Ro, MD
  • How medicine reflects women’s silence

    Priya Panneerselvam, DO
  • Most Popular

  • Past Week

    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • Autism prevalence surveillance: a reckoning, not a crisis

      Ronald L. Lindsay, MD | Conditions
    • Physician income vs. burnout: Why working harder fails

      Jerina Gani, MD, MPH | Physician
    • The human element in clinical trials

      Dr. Bodhibrata Banerjee | Physician
    • Our relationship with medicine: a triumph

      Joseph Shaw | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Why your midlife choices will define your future health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Testosterone cardiovascular risk: FDA update 2025

      Martina Ambardjieva, MD, PhD | Meds
    • Alcohol, dairy, and breast cancer risk

      Neal Barnard, MD | Conditions
    • The erosion of evidence-based medicine: a doctor’s warning

      Corinne Sundar Rao, MD | Physician
    • Infertility public health: the WHO’s new global guideline

      Oluyemisi Famuyiwa, MD | Conditions
    • Imposter syndrome: a poem of self-talk

      Mary Remón, LCPC | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 195 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • A lesson in empathy from a young patient

      Dr. Arshad Ashraf | Physician
    • Autism prevalence surveillance: a reckoning, not a crisis

      Ronald L. Lindsay, MD | Conditions
    • Physician income vs. burnout: Why working harder fails

      Jerina Gani, MD, MPH | Physician
    • The human element in clinical trials

      Dr. Bodhibrata Banerjee | Physician
    • Our relationship with medicine: a triumph

      Joseph Shaw | Conditions
  • Past 6 Months

    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Systematic neglect of mental health

      Ronke Lawal | Tech
    • Stop doing peer reviews for free

      Vijay Rajput, MD | Education
  • Recent Posts

    • Why your midlife choices will define your future health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Testosterone cardiovascular risk: FDA update 2025

      Martina Ambardjieva, MD, PhD | Meds
    • Alcohol, dairy, and breast cancer risk

      Neal Barnard, MD | Conditions
    • The erosion of evidence-based medicine: a doctor’s warning

      Corinne Sundar Rao, MD | Physician
    • Infertility public health: the WHO’s new global guideline

      Oluyemisi Famuyiwa, MD | Conditions
    • Imposter syndrome: a poem of self-talk

      Mary Remón, LCPC | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Be emotionally intimate with your patients
195 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...