the Lack of Empathy in Some Psychiatric Professionals

Q: the Lack of Empathy in Some Psychiatric Professionals

Hello： Thank you for your letter expressing your feelings. <br>It must have been very distressing and disappointing to feel that you were not empathized with during your recent visit and to be quickly labeled with certain comments. <br>I understand that you have been trying hard

Confusion Regarding Psychiatric Physicians

Hello Dr.
Li Guanying, I would like to ask you a question regarding an experience I had with a child and adolescent psychiatrist at your hospital.
Perhaps you can provide some insight from a psychiatrist's perspective on why a professional psychiatrist would say something like "you are lazy" to a patient with a mental illness.
While it is understandable that the general public may not grasp the symptoms, why is it that even psychiatrists sometimes struggle to empathize with their patients? The psychiatrist I encountered claimed that my insomnia was due to not being tired enough, which I found quite strange.
Doesn't a professional psychiatrist understand that severe anxiety can be exhausting and lead to sleeplessness? Additionally, he stated that my thinking and comprehension were fine and that I was simply overthinking things.
I explained to him that conversations in the clinic are straightforward, but when discussing more complex matters, I tend to lose focus or struggle to understand.
The doctor dismissed my concerns as stubbornness.
He hardly listened to what I had to say and interpreted my rebuttals as mere obstinacy.
I don't understand how such a lack of empathy and self-righteous comments can benefit a patient.
He even asked me if I never worry about the future, which I found very odd.
The reality is that I have difficulties, yet he spoke as if simply worrying about the future would make things better, which only exacerbates my anxiety.

I considered two possibilities: first, he may not fully understand my challenges and suffering, leading him to make such inappropriate remarks.
Second, he might be aware of my difficulties but not fully comprehend them, and he mistakenly believes that a forceful approach will be effective, thinking that provocative language could help me improve.
I feel that a psychiatrist lacking empathy is already problematic, but if they are also self-righteous, it’s as if they are closing their ears to what the patient is saying, only hearing what they want to hear.
Currently, I have a strong dislike for that psychiatrist.
I go to the hospital seeking help, not to encounter such misunderstandings.
If that’s the case, how is it any different from dealing with unprofessional individuals outside? I hope you can share your thoughts as a psychiatrist on how you view another psychiatrist treating a patient in this manner.

Yi, 20~29 year old female. Ask Date: 2022/10/26

Dr. Li Guanying reply Psychiatry

Hello: Thank you for your letter expressing your feelings.
It must have been very distressing and disappointing to feel that you were not empathized with during your recent visit and to be quickly labeled with certain comments.
I understand that you have been trying hard to make sense of the situation after the emotional experience, and you have considered two possible explanations.
From my perspective, I would like to share my thoughts.
For instance, the brief duration of consultations may lead to misunderstandings in communication.
Under the current healthcare system, both physicians and patients are often forced to communicate within a limited timeframe, making it challenging to have enough time and space to clarify issues and understand feelings and thoughts.
Indeed, in interpersonal communication, if statements are taken out of context, it can often lead to misunderstandings and even cause harm.
I wonder if your feelings of distress also include confusion.
I encourage you to return for a follow-up appointment with the physician to clarify these confusions and enhance doctor-patient communication.
Thank you once again for reaching out for consultation.

Reply Date: 2022/10/26

More Info

It's understandable that you're feeling frustrated and hurt by your experience with a psychiatric professional who seemed to lack empathy. The relationship between a patient and their psychiatrist is crucial for effective treatment, and when that bond is compromised, it can lead to feelings of misunderstanding and isolation.
Firstly, it's important to recognize that not all mental health professionals possess the same level of empathy or understanding. While many psychiatrists are trained to be compassionate and supportive, some may struggle with these qualities due to various factors, including their own experiences, training, or even personal biases. This can lead to a disconnect between the patient and the provider, as you've experienced.

Your observation about the psychiatrist labeling you as "lazy" or suggesting that your insomnia is due to not being tired enough is concerning. Such statements can be harmful and dismissive, particularly for someone dealing with anxiety or other mental health issues. It's essential for mental health professionals to understand that conditions like anxiety can be exhausting and can significantly impact one's ability to function, including sleep patterns.
The two possibilities you mentioned regarding the psychiatrist's comments are valid. The first possibility is that the psychiatrist may not fully understand the complexities of your condition. Mental health disorders can manifest in various ways, and without a comprehensive understanding of your specific situation, a provider might make oversimplified or incorrect assumptions. This lack of understanding can stem from a variety of reasons, including insufficient training in specific disorders or a lack of experience with patients who have similar challenges.

The second possibility is that the psychiatrist might believe that a more direct or confrontational approach could motivate you to change your behavior. While some patients respond well to this type of tough love, it can be detrimental for others, especially those who are already feeling vulnerable. This approach can exacerbate feelings of inadequacy and anxiety, leading to a negative therapeutic experience.

As a patient, you have the right to feel heard and validated. If a psychiatrist is not providing that support, it may be beneficial to seek a second opinion or find a different provider who aligns more closely with your needs. A good psychiatrist should be willing to listen to your concerns, validate your feelings, and work collaboratively with you to develop a treatment plan that addresses your unique challenges.

In terms of addressing your feelings towards this psychiatrist, it might be helpful to express your concerns directly, if you feel comfortable doing so. Providing feedback can sometimes lead to a more productive dialogue and may help the psychiatrist understand how their words affect their patients. However, if you feel that this would not be productive or safe, focusing on finding a new provider who can offer the empathy and understanding you deserve might be the best course of action.

Ultimately, mental health treatment should be a supportive and collaborative process. You deserve to work with a professional who respects your experiences and provides the guidance you need to navigate your mental health challenges. Remember, seeking help is a sign of strength, and finding the right support can make a significant difference in your journey towards healing.

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