The Patient Who Ruins Your Day

As physical therapists, our days are often filled with rewarding experiences as we help patients recover, regain mobility, and improve their quality of life. Yet, every so often, we encounter that one patient—the one who seems to be on a mission to ruin our day. This isn’t just an isolated sentiment; it’s a common experience among PTs, as evidenced by the fact that this very topic has become one of the highest trending thread in physical therapy forums on Reddit.

We dedicate our lives to serving others, often for less pay and appreciation than we deserve. So, when a patient’s behavior gets under our skin, it can feel particularly demoralizing. However, it’s possible to break free from this frustration and refocus on the incredible work we do. Here’s how.

The Power of the Pause

When confronted with a difficult patient, one of the most effective techniques I’ve found is harnessing the power of the pause. This concept is supported by research and is one of the greatest assets we have in influencing our own state of mind. The idea is simple: between the stimulus (the patient’s antagonistic behavior) and our response, there is a moment—an opportunity to pause.

When I react reflexively, without taking that moment to pause, I often find myself in a downward spiral of frustration. However, when I consciously slow down and take a few seconds to consider my response, the outcome is drastically different. By pausing, you give yourself the space to choose your reaction, rather than letting the situation control you. This small shift can turn a potentially ruinous interaction into a more manageable, even positive, experience.

Reflecting on Human Desires

Another technique that has been invaluable to me is reflecting on the offending patient’s true desires as a human being. Regardless of their behavior, they likely share the same fundamental desires that we all do: the desire to be happy and to avoid suffering.

Their behavior may be difficult, but when you consider that they too are seeking happiness and trying to avoid pain—just like you—it’s easier to reframe their actions. Rather than viewing their behavior as a deliberate attempt to antagonize you, see it as a reflection of their struggle. This shift in perspective helps to transform your mindset from one of antagonism to one of compassion. When you view the patient with empathy rather than frustration, it changes the entire dynamic of the interaction.

Firing Silent Prayers

My favorite technique for dealing with particularly stressful interactions is what I like to call “firing silent prayers.” This technique has been described in various ways, but the idea that resonates most with me is the sense of empowerment it gives. There’s something almost gratifying about the notion of “firing” these silent prayers in response to antagonism.

When you silently wish for the well-being of the person who is frustrating you, you not only reset your own mindset, but you also influence your subconscious body language and facial expressions. Compassion has a way of softening your entire demeanor, making it easier to navigate the situation with grace. This silent act of kindness doesn’t just benefit the patient; it also restores your inner peace, enabling you to maintain the energy and positivity needed to continue your work.

Reclaim Your Day

As challenging as it may be, overcoming the frustration of a difficult patient is entirely possible with these techniques. The key is to focus on freeing yourself from negative emotions so that you can preserve the energy required to do what you do best: serve others.

Remember, the power to reclaim your day is in your hands. By practicing these techniques—pausing before reacting, reframing the patient’s behavior, and responding with silent prayers—you can protect your mental and emotional well-being. This not only makes you a more effective therapist but also allows you to continue making a positive impact on the lives of those you serve.

Did you find these tips helpful? Let us know! Contact our PT Success Team at ptlighthouse@thejacksonclinics.com

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