Sometimes my psychology skills are more in demand than my medical skills, writes Dr Linda Calabresi
Sometimes I have days in the surgery when my psychology skills are more in demand than my medical skills.
Perhaps thatâs the trick of general practice, getting into that patientâs head to understand whatâs really worrying them, and doing this comprehensively every 15 minutes.
Often itâs straightforward. Ask a few open-ended questions. Give them time to answer. Acknowledge their concerns and address them. But sometimes â just sometimes â it is the most frustrating, infuriating part of the job, for me anyway.
It happened recently. A long-term, 30-something, much-liked patient of mine who comes in very regularly with a range of chronic problems, including chronic pain, had had a fall and fractured her arm. It had been treated at ED and all indications were it would heal within the usual time frame. Her arm was in plaster, but she was not coping well.
Medically she was fine. But psychologically she had convinced herself this latest incident was further evidence that life was out to get her and that she didnât stand a chance.
No matter what I said she refused to acknowledge a single positive thing in her life â of which there are many â and everything I suggested was met with a shrug and an accusation that I didnât know what it was like. What I really needed to do was break this âhabitâ of seeing the negative in everything.
I was reminded of this âhabitâ again when I read the feature on The Red Pill in this weekâs TMR (See P27). While some interesting points are made, it appears some men advocating for menâs rights believe they are so discriminated against in society, they see evidence of this subversion absolutely everywhere, even in history.
When people start citing that more men than women have died in wars, and how it was always women and children saved first in shipwrecks, as examples of how women have dominated society, you have to suspect things have got a little out of perspective.
Iâm sure many of these men have some very valid reasons for feeling hard done by. As does my patient. It is just when this negativity becomes all-pervasive and distorts these peopleâs entire view of the world, you have to ask what good can come of this? How can people ever be happy if they are in the habit of seeking out the misery?
As for my patient? I donât know. Iâm hoping, and suspecting, it was just a bad patch. It could be depression, of course, but she is on a SSRI and refuses to see a psychologist. At least sheâs coming back next week.
Email: linda@medicalrepublic.com.au
