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

  • Psychedelic retreat safety: What the latest science says

    Arthur Lazarus, MD, MBA
  • Why a nice surgeon might actually be a better surgeon

    Sierra Grasso, MD
  • Did ABIM MOC reform actually fix the problem for physicians?

    Brian Hudes, MD
  • Are medical malpractice lawsuits cherry-picked data?

    Howard Smith, MD
  • The Chief Poisoner: a chemotherapy poem

    Ron Louie, MD
  • Whole-body MRI screening: political privilege or future of care?

    Michael Brant-Zawadzki, MD
  • Most Popular

  • Past Week

    • Whole-body MRI screening: political privilege or future of care?

      Michael Brant-Zawadzki, MD | Physician
    • Physician attrition rates rise: the hidden crisis in health care

      Arthur Lazarus, MD, MBA | Physician
    • How frivolous lawsuits drive up health care costs

      Howard Smith, MD | Physician
    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • The physical exam in the AI era

      Jason Ryan, MD | Physician
    • Concierge medicine access: Is it really the problem?

      Dana Y. Lujan, MBA | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Catching type 1 diabetes before it becomes life-threatening [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • Psychedelic retreat safety: What the latest science says

      Arthur Lazarus, MD, MBA | Physician
    • How CAR-NK cancer therapy could be safer than CAR-T

      Cliff Dominy, PhD | Meds
    • ChatGPT Health in hospitals: 5 essential safety protocols

      Harvey Castro, MD, MBA | Tech
    • Why fear-based approaches fail in chronic illness care

      Bridgette Johnson, PhD, RN | Conditions
    • Medical brain drain leaves vulnerable communities without life-saving care [PODCAST]

      The Podcast by KevinMD | Podcast

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

    • Whole-body MRI screening: political privilege or future of care?

      Michael Brant-Zawadzki, MD | Physician
    • Physician attrition rates rise: the hidden crisis in health care

      Arthur Lazarus, MD, MBA | Physician
    • How frivolous lawsuits drive up health care costs

      Howard Smith, MD | Physician
    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • The physical exam in the AI era

      Jason Ryan, MD | Physician
    • Concierge medicine access: Is it really the problem?

      Dana Y. Lujan, MBA | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Catching type 1 diabetes before it becomes life-threatening [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • Psychedelic retreat safety: What the latest science says

      Arthur Lazarus, MD, MBA | Physician
    • How CAR-NK cancer therapy could be safer than CAR-T

      Cliff Dominy, PhD | Meds
    • ChatGPT Health in hospitals: 5 essential safety protocols

      Harvey Castro, MD, MBA | Tech
    • Why fear-based approaches fail in chronic illness care

      Bridgette Johnson, PhD, RN | Conditions
    • Medical brain drain leaves vulnerable communities without life-saving care [PODCAST]

      The Podcast by KevinMD | Podcast

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...