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namaste
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10 Jun 2013, 12:08 pm

How should be ones relationship with ones psychatrist??

I have a male psychatrist, he is around my same age?

Its like instant chemistry :P

How should i behave around him?

I get emotionally attached with people who show bit of interest :roll:


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whirlingmind
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10 Jun 2013, 1:30 pm

Erm, I'm confused, aren't you married? If not, sorry I have mixed you up with someone else.

It would be unethical for any relationship between doctor and patient, so if you are attracted, and he feels the same (which you would have to be sure of) you would need to see a different doctor professionally to pursue a relationship with this one. Do you also know if he is single or not? Be sure before you do anything.


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namaste
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10 Jun 2013, 1:36 pm

whirlingmind wrote:
Erm, I'm confused, aren't you married? If not, sorry I have mixed you up with someone else.

It would be unethical for any relationship between doctor and patient, so if you are attracted, and he feels the same (which you would have to be sure of) you would need to see a different doctor professionally to pursue a relationship with this one. Do you also know if he is single or not? Be sure before you do anything.

ya i am married and he is married too...

even i was thinking of changing the doctor and going to someone else
but he seems to understand me so well.
i doubt the next doctor would be able to diagnose me well and
actually understand my issues.

should i check out the other doctor
and if he is able to diagnose well and treatment is good
then i will go to new doctor :roll:


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whirlingmind
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10 Jun 2013, 1:44 pm

Look it's your choice. I don't personally approve of you going after a married man but it's your life so not my business. If he is married and has children, then it's even more serious, because they will be the ones who end up getting hurt the most when it comes to light what's been going on, if his wife throws him out. Are you even sure he's interested in you that way anyway? You do what you think best about what doctor you see for your treatment. But I don't want to give advice on affairs between married people because I just don't approve. In my view, if two people just cannot keep their hands off each other they should first break off their existing relationships to be free to do what they want.


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10 Jun 2013, 2:45 pm

namaste wrote:
How should be ones relationship with ones psychiatrist?

I wouldn't recommend letting the relationship get to a physical - or even a romantic stage - for two reasons:

1. He may be deliberately manipulating you into a relationship; and for his sole benefit, not yours.

2. I dated a female psychologist for a while, and eventually got tired of her constantly assuming that my words and actions all had an ulterior motive behind them. We eventually broke up after she accused me of wanting to hit on a woman that I had never met and didn't even know existed.



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10 Jun 2013, 2:52 pm

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Whilst having sexual relationships with current patients is clearly unethical, the ethics of such a relationship between a doctor and former patient is more debatable. In this review of the current evidence, based on major articles listed in Medline and Bioethicsline in the past 15 years, the argument is made here that such relationships are almost always unethical due to the persistence of transference, the unequal power distribution in the original doctor–patient relationship and the ethical implications that arise from both these factors especially with respect to the patient's autonomy and ability to consent, even when a former patient. Only in very particular circumstances could such relationships be ethically permissible.


http://fampra.oxfordjournals.org/content/18/5/511.full

Quote:
The long-term emotional consequences for the patient of being sexually involved with a doctor have been likened to rape or incest. This has been documented extensively in the literature, with no counteracting reports of successful relationships and non-abusive consequences being published. This does not mean that no such type of relationship may exist, but it has not been researched. This suggests that the overwhelming outcome for most, if not all, patients is negative.



Rascal77s
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10 Jun 2013, 6:09 pm

I'm not going to get into the ethics of it all. This situation is very simple- You are trying to get help for your issues. You have some feelings for the doctor. Getting help requires a professional relationship devoid of personal feelings that will derail your objective.

Solution: Stop screwing around and go find someone you don't have feelings for so you can meet your mental health goals. Consider talking to the next doctor about your attachment issue.



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10 Jun 2013, 7:22 pm

If it was me, I'd want my patient/client to be open with me and to have a dialogue around this.
What if you mention your thoughts to him and gauge his response? A skilled (and ethical) psychiatrist will be able to handle this concern and talk you through to the point where you can make the best decision for you. It really seems a shame to throw away what sounds like a positive relationship without clarifying matters.
If he reciprocates your feelings (e.g. he says that he loves you back and tries to pursue a personal relationship) I would cut, run and consider reporting him to the appropriate medical board for the safety of his other patients (present and future).


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androbot2084
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10 Jun 2013, 11:17 pm

I don't see how it is a crime for a Doctor and a Patient to fall in love with each other.



Callista
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10 Jun 2013, 11:29 pm

androbot2084 wrote:
I don't see how it is a crime for a Doctor and a Patient to fall in love with each other.
Not usually a crime. Falling in love, in and of itself, just happens; it's how they react to it that's the critical factor. Sometimes, if the doctor uses his position to seduce the patient and/or takes advantage of the patient, it is a crime; but for the most part, it is just unwise for the patient and unethical for the doctor. The trouble is that when love gets involved, the doctor no longer has an uninvolved perspective on the situation. If they want to have a relationship, the best thing is just for the patient to find another doctor.


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11 Jun 2013, 3:41 am

You're married. He's married.

DON'T let things turn romantic. This is not hard. Just refrain from flirting, and keep all your clothes on.


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11 Jun 2013, 4:28 am

It is easy for people to become attached to their psychiatrists when they feel a connection with them. Remember though, it is his job to show interest in you. Aspies are bad at reading social clues, so you could easily be misreading his intentions.

Even if he does have a genuine romantic interest in you, it is highly unethical to pursue this. You are both married, and you have a patient doctor relationship. I suggest you talk to him about this first to clarify the situation. I am pretty sure you will find his interest in you is purely professional.



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11 Jun 2013, 4:36 am

I'm assuming it's an emotional kinda fixation and not totally romantic in a sense. It's possible to get attached to people without it being romantic.

Maybe that would be a good thing to talk to him about in general. i.e talking about how you get attached to people who show interest in you (without referring to your attachment to him as a specific example). I imagine psychiatrists/psychologists/counselors end up being a subject of fixation more often than you think, so you're probably not the first patient who's felt like this towards him.



whirlingmind
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11 Jun 2013, 5:35 am

Ethics aside, as a patient you are in a vulnerable position, so he should not take advantage of this, as you are there because you have psychological issues.

It is a known phenomenon for patients to fall for their doctors, it is because you are in need, he is delivering support and this can be mistranslated as caring for you in a personal way. They don't call it a doctor's "bedside manner" for nothing.

It doesn't mean because he is pleasant to you, and shows a face of concern (which is his job) that he is lusting for you or has fallen in love with you. As a man, of course it's possible he could be lusting after you (although one would hope he was professional enough to keep any such thoughts in check) but if so, he would only be wanting one thing out of any personal relationship. I don't think I need to spell out to you what that is. Whereas you, may have idealised him, thinking he is your knight in shining armour, will save you from a bad marriage where your husband is cold, unsympathetic and uncaring, and that it will all be "happily ever after". Life is rarely like that. You would get hurt, you would have imagined roses round the door where all he was imagining was getting you into bed. More married men would choose to have their cake and eat it and never leave their wife, than those who leave their marriage for the person they are having an affair with.

The other point is, that you say there is chemistry, but how do you know that this is not all in your mind? Perhaps you have latched onto him and he doesn't feel anything like you imagine. Or maybe he is aware that you fancy him and is flattered and his ego is being massaged so he entertains it but has no intention of allowing things to go further. If he is a handsome man, he could well be used to his female patients falling for him (although I would hope he has never abused his position because of it).

You asked how you should behave with him, well clearly as you are besotted with him you will never behave the same in your therapy as if you weren't, and this makes your doctor patient relationship likely to be less therapeutic than it is meant to be, perhaps far less. Your thoughts will always be on how you want him and your issues may not be addressed.

It just seems like a bad situation, I don't know what to suggest to you, I've told you what I think about the ethics side already, only you can make choices for your situation, I just hope you make the right ones.


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namaste
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11 Jun 2013, 6:52 am

Fnord wrote:
2. I dated a female psychologist for a while, and eventually got tired of her constantly assuming that my words and actions all had an ulterior motive behind them. We eventually broke up after she accused me of wanting to hit on a woman that I had never met and didn't even know existed.

sounds like a paranoid psychologist


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namaste
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11 Jun 2013, 6:56 am

Adamantium wrote:
Quote:
Whilst having sexual relationships with current patients is clearly unethical, the ethics of such a relationship between a doctor and former patient is more debatable. In this review of the current evidence, based on major articles listed in Medline and Bioethicsline in the past 15 years, the argument is made here that such relationships are almost always unethical due to the persistence of transference, the unequal power distribution in the original doctor–patient relationship and the ethical implications that arise from both these factors especially with respect to the patient's autonomy and ability to consent, even when a former patient. Only in very particular circumstances could such relationships be ethically permissible.


http://fampra.oxfordjournals.org/content/18/5/511.full

Quote:
The long-term emotional consequences for the patient of being sexually involved with a doctor have been likened to rape or incest. This has been documented extensively in the literature, with no counteracting reports of successful relationships and non-abusive consequences being published. This does not mean that no such type of relationship may exist, but it has not been researched. This suggests that the overwhelming outcome for most, if not all, patients is negative.

what about family doctors??


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