{"id":5835,"date":"2024-05-20T08:05:12","date_gmt":"2024-05-20T06:05:12","guid":{"rendered":"https:\/\/medicalmanage.gr\/build-trust-and-therapeutic-relationships-with-your-patients\/"},"modified":"2024-04-22T15:48:19","modified_gmt":"2024-04-22T13:48:19","slug":"build-trust-and-therapeutic-relationships-with-your-patients","status":"publish","type":"post","link":"https:\/\/medicalmanage.gr\/en\/build-trust-and-therapeutic-relationships-with-your-patients\/","title":{"rendered":"Build Trust and Therapeutic Relationships with your Patients"},"content":{"rendered":"<p><strong>It is well known by now that a physician\u2019s demeanor influences the clinical response patients have to any prescribed treatment.<\/strong><\/p>\n<p>We also know that even when nothing is prescribed, a physician\u2019s careful listening, examination, and reassurance about the normalcy of common symptoms and experiences can decrease patients\u2019 suffering in the broadest sense of the word.<\/p>\n<\/p><div id=\"medic-3401038564\" class=\"medic-mesa-sto-article medic-entity-placement\" style=\"margin-left: auto;margin-right: auto;text-align: center;\"><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3269445924940809\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- medical en mesa sto arthro -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-3269445924940809\"\r\n     data-ad-slot=\"8662865328\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><\/div>\n<p><strong>This has been the bread and butter of counselors for years. People will faithfully attend and pay for weeks, months, and even years of therapy visits just to have an attentive and active listener and to feel like they have an ally.<\/strong><\/p>\n<p>We also have data that shows that adherence to treatment plans is dependent on how patients feel about their provider. One problem solved can build an ally for life.<\/p>\n<p>Primary care medicine is a relationship-based business. But often that basic fact is overlooked or denied.<\/p>\n<p><strong>Whether you are trying to get another person to alter their lifestyle, take expensive medicines according to inconvenient schedules, or even just trust and accept your diagnosis, you have to \u201cearn\u201d the right to do those things.<\/strong><\/p>\n<p>When looking for primary care, people still tend to ask, \u201cwho\u2019s a good doctor.\u201d<\/p>\n<p>How do you, as a clinician in today\u2019s restless and mobile society, earn trust and build therapeutic relationships in fifteen-minute visits?<\/p>\n<p><strong>Prepare yourself for beginning a clinical encounter. Your ABCs are Attention, Behavior, and Connection.<\/strong><\/p>\n<p>But where do you go from there, how do you continue, grow, and nurture a therapeutic relationship over time in the kind of environment most of us work within?<\/p>\n<p><strong>Here are a few lessons:<\/strong><\/p>\n<p><strong>1. Listen and respond<\/strong><\/p>\n<p>How many times do you hear that patients don\u2019t get to speak for even a minute before you interrupt them?<\/p>\n<p><strong>If you hear something that immediately requires clarification, do what you would do in a social situation.<\/strong><\/p>\n<p>Say that what the other person just said is important or interesting, reflect back what you think you understood and then be careful not to give them too many yes or no options, but invite them to continue their story.<\/p>\n<p><strong>2. Set an agenda<\/strong><\/p>\n<p>Patients may not reveal their real concern when making an appointment, and their priorities may have changed since then.<\/p>\n<p>Going all-in with what you think is their main issue and saying, \u201cdo you have any other concerns\u201d until the end of the visit is a recipe for disaster.<\/p>\n<p><strong>That agenda-setting may need to be addressed right away or after hearing a little about the main concern.<\/strong><\/p>\n<p>If you don\u2019t ask what people need from you, how can you ever hope to fill your role as their provider?<\/p>\n<p><img decoding=\"async\" class=\" size-full wp-image-5834\" src=\"https:\/\/medicalmanage.gr\/wp-content\/uploads\/2020\/04\/images_171631860-56aae7f53df78cf772b4a4cb.jpg\" alt=\"once you know your patient\u2019s concern and their diagnosis or differential diagnosis, if they feel heard, you can move more quickly to wrap up the visit if you need to.\" width=\"100%\" height=\"NaN\" title=\"once you know your patient\u2019s concern and their diagnosis or differential diagnosis, if they feel heard, you can move more quickly to wrap up the visit if you need to.\" srcset=\"https:\/\/medicalmanage.gr\/wp-content\/uploads\/2020\/04\/images_171631860-56aae7f53df78cf772b4a4cb.jpg 500w, https:\/\/medicalmanage.gr\/wp-content\/uploads\/2020\/04\/images_171631860-56aae7f53df78cf772b4a4cb-300x210.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><strong>3. Budget time<\/strong><\/p>\n<p>Don\u2019t act frustrated about the reality that time is at a premium, and don\u2019t declare that you have too little of it until you know how serious or urgent your patient\u2019s concern is.<\/p>\n<p><strong>The person with a seemingly trivial concern may need you to help them with the biggest or worst problem of their life, so invest your time and attention on listening and understanding early on in the visit.<\/strong><\/p>\n<p>By acting unhurried at first, you are more likely to create an atmosphere of trust and caring; once you know your patient\u2019s concern and their diagnosis or differential diagnosis, if they feel heard, you can move more quickly to wrap up the visit if you need to.<\/p>\n<p><strong>4. Don\u2019t be a hero<\/strong><\/p>\n<p>If you try to be the hero in their stories, you create unhealthy, dependent relationships that often lead to patient disappointment or even resentment.<\/p>\n<p><strong>As guides instead of heroes, you also remind yourselves that you are not the ultimate experts on what is best for your patients.<\/strong><\/p>\n<p>Since your patients are the heroes of their own stories, they must ultimately decide which piece of advice from which guide they will choose to follow.<\/p>\n<p><strong>5. Balance disclosure<\/strong><\/p>\n<p>You can not build therapeutic relationships as only technicians;<\/p>\n<p>You must engage as real people, and you can\u2019t be real without showing emotion, genuine interest, engagement, and a good amount of humility.<\/p>\n<p><strong>6. Build continuity<\/strong><\/p>\n<p>From one visit to the next, find a thread to follow. For some patients, it is their chronic disease, for others, their family or their hobby.<\/p>\n<p><strong>Reconnecting about what you talked about last time is a powerful and quick way to reestablish the fact that you know each other and that you care about your patient.<\/strong><\/p>\n<p>It brings you straight into a space where you are ready to do the work you do.<\/p>\n<p><strong>7. Solicit participation<\/strong><\/p>\n<p>When it\u2019s time to formulate a treatment plan, don\u2019t be too quick to lay it out as if there is only one way to do things.<\/p>\n<\/p>\n<p><strong>8. Plan when and how to reconnect<\/strong><\/p>\n<p>It\u2019s important to agree on what to do after the test results come in, when the antibiotic runs out, if the rash doesn\u2019t go away or when to meet up if everything is going well.<\/p>\n<p>Not making such plans devalues the relationship and makes you look as if you don\u2019t care about your patient.<\/p>\n<p><strong><a href=\"http:\/\/www.medicalmanage.gr\/en\/\" title=\"MEDICAL management TUTORIAL\">www.MedicalManage.gr\/en\/<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is well known by now that a physician\u2019s demeanor influences the clinical response patients have to any prescribed treatment. 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