Challenging Patient Encounters

  • Clinical Updates in Women's Health Care CU
  • September 2016

ABSTRACT: Patient-related, physician-related, and situational factors contribute to challenging clinical encounters. Patient-related factors include psychiatric illness, such as depression, anxiety, posttraumatic stress disorder, substance use disorders, and borderline personality disorder, but primarily involve personality traits and medically unexplained physical symptoms. Understanding the needs, motivation, and attachment styles of patients can help the obstetrician–gynecologist develop empathy for difficult patients, more effectively manage potentially challenging clinical encounters, better meet patient needs, and enhance their own job satisfaction. Resources and techniques available to physicians to minimize challenging encounters include the use of patient-centered interviewing and motivational interviewing; consultation with colleagues, including psychiatric consultation; and participation in Balint groups

Log in to read more

This content is only available to members and subscribers.

Log In

Nonmembers: Subscribe now to access exclusive ACOG Clinical content, including:

ACOG Clinical is designed for easy and convenient access to the latest clinical guidance for patient care. Developed with members’, physicians’, and women’s health care professionals’ needs in mind, user-friendly features include:

  • Easy, advanced search function to find the most relevant guidance
  • Enhanced document presentation
  • Advanced features and functionality

You’ll find clinical content written and peer reviewed by experts and valuable information that spans guidance on the diagnosis and management of the full spectrum of obstetric and gynecological conditions and clinical management issues.

Note for Life Fellows: Annual membership dues are waived but there is a discounted annual subscription fee of $95 for access to publications such as the Green Journal, Practice Bulletins, and Committee Opinions. Individual subscriptions include print and online access. Subscribe today.