Ethical Plab2Aspired19

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Ethicals

ASPIRE: THE QUEST FOR EXCELLENCE

Facebook Page: Aspire Education

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Website: www.aspire2plab.com

DR. ANKUR GARG


DR. NIKHILESH RAO

3rd Floor, New London College, Sceptre House, 75-81 Staines Road,
Hounslow, London, TW3 3HW
Notes

3rd Floor, New London College, Sceptre House, 75-81 Staines Road,
Hounslow, London, TW3 3HW
Changing the counsellor

You are F2 in GP.


Patient aged 30 is going for counselling sessions for depression and she is taking sertraline
for that. She is requesting to change her counsellor. Please talk to her and address her
concerns.

D: How can I help you?


P: I want to change my counsellor.

D: Let me ask you a few questions to get better understanding of your problem. Could you
please tell me why are going to the counsellor?
P: When I was pregnant my husband left me for someone else and I had to abort the baby. I
was in depression and I am taking medications also. I was seeing him for that purpose.

D: Could you please tell me when did you start taking medications for the depression?
P: I started taking medication 2 years back.

D: How are you now?


P: I am fine.

D: Do you eat well?


P: Yes

D: Do you have any problem with the sleep?


P: No

D: How long have you been taking counselling sessions?


P: I was taking the counselling sessions from last one year.

D: You were going to the same counsellor or did you change in between?
P: I was going to the same counsellor.

D: Could you please tell me why do you want to change your counsellor?
P: I prefer a female counsellor.

D: May I know is there any particular reason that you want a female counsellor.
P: Sometimes he touches and hugs me. There was some intimacy between me and my
counsellor.

D: I am sorry to hear that. Is this happening against your will?


P: No, it was Consensual from my side as well. This is not his fault, I use to encourage him
and we went out for few dates. But then I came to know he has a girlfriend. I have no
complaints against him. I just want a female counsellor. Please change my counsellor.

D: I will talk to my seniors and we can arrange another counsellor for you.
Thank you so much for letting us know about this. I am glad that you have opened up to me.
However, I will tell this to my seniors because we do not encourage this as it is against our
professional ethics. It is unethical for a doctor to have relationship with a patient.

P: I don’t have any problems against my previous counsellor. I don’t want him to get into
trouble, he is a nice man.
D: I understand your concern. You are our patient and as you mentioned you have depression
that makes you more vulnerable and our profession doesn’t encourage it. I have to escalate it
to my senior. And also I will discuss about your wish to change the counsellor with my
senior.

If she wants to complains then offer PALS in those cases.

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