My mother is suffering from a variety of symptoms including anxiety, anger, mood swings, anorexic-type eating habits, and depression. However, her public face is nearly perfect, and she does not acknowledge her problems. She is very difficult for family members to be around, and we feel she needs treatment. She is going to her doctor for a physical next month. Is it appropriate for a family member to contact the doctor in advance in hopes that the doctor can start a conversation with my mother? If so, what is the best way to approach the doctor?
- Dr. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
- Dr. Dombeck intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
- Questions submitted to this column are not guaranteed to receive responses.
- No correspondence takes place.
- No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Dombeck to people submitting questions.
- Dr. Dombeck, Mental Help Net and CenterSite, LLC make no warranties, express or implied, about the information presented in this column. Dr. Dombeck and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service.
- Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.
It could be appropriate for you to contact the doctor so as to give him or her a heads-up with regard to some of the mood symptoms that she is experiencing. However, your doing so will likely cause problems. You’ll embarrass your mother, for one thing. She may feel deeply ashamed as well, and potentially even turn this shame into anger directed at you for outing her. For these and similar reasons, taking this action should be your option of last resort.
A far better first option is for you (and other family members who are on board with you) to sit down as a group with your mother and let her know that you are all aware of her issues and think them significant enough to warrant medical attention. It will be hard for her to dispute your observations if they are delivered by the family as a group. In this meeting you can present her with a strong recommendation that she discuss these issues with her doctor. Allowing her to choose to talk to the doctor herself helps her preserve some dignity and makes it more likely she will comply with whatever treatment is prescribed.
If you want to ratchet up the pressure on your mother, you can do so by requesting that you come along with her on the doctor visit so as to insure that she does talk to the doctor about her issues. You might also ask her permission to speak to the doctor yourself (via telephone?) so that you can give him a heads up with regard to your mother’s condition. Again, asking permission first is a way of getting her buy-in and preserving her dignity. Your mother’s communication with her doctor is legally protected. Her doctor will not be able to speak with you concerning her condition. This does not mean that he cannot receive information concerning her condition from you, however.
The next level of pressure you might put upon your mother would be to tell her that you are concerned enough about her condition that you are giving her a choice: either she discusses this with her doctor, or you will. While this might work to get her to talk about her issues, it might also backfire and make her feel more ashamed and more entrenched. Keep vividly in mind that if your mother is not a willing participant in her treatment for depression or whatever is troubling her, that treatment is unlikely to be helpful. Medications do not remember to take themselves, and therapy sessions which are not attended or which are ignored cannot be helpful either. Proceed with caution if you decide you must force her hand.