How do you find the proverbial or metaphorical Rock in the shoe? And by that? I know you were giving an illustration of a of an exercise. When teaching But beyond. Symptom inventory. How do you begin to Unearthed? The causes at play with someone what I find. So interesting about this is it's actually not that hard. If you can build a rapport with someone where they feel like, okay, you're not looking to fault me and you're not looking to stigmatize me. You're actually interested in me interested in what's going on in me, so I wouldn't say to everyone. I'm an Italian from, New Jersey. At
the side of, that's not your opening Salvo. It's not my consistent opening Salvo, right?
That when someone is, you could tell this in pain and you're thinking, look at is there. Is there a route in which we can connect and Stephanie is an Italian from New York where there's a similarity that can then establish a rapport that can lend lead the person with whom. I'm trying to establish the Rapport to really feel like I can talk to you. I can talk period, right? I can talk openly. And it often leads to right where we need to go, because people often are aware of what's going on inside, is and what triggers them what's going on in that, the tape that's playing in their head all the time. How do they feel badly about themselves? What's their internal dialogue about themselves? And when you let people start talking very often, they'll talk about it. Even if they never have before, they might have had treatment for depression in 15 different settings. Never talked about trauma. I mean, by the way, I see this a lot. That's not just Radical example because no one's asked about it and been and been open to it and that reinforces the idea of Shame and stigma. No one's asking about this even though we're Sten ssibly, here to talk about my mental health, that reinforces the messaging of stigma and shame. But if you give people an open venue to talk, it's remarkable how it can come to the fore, be processed, or validated or challenge, however, may be, it's just an openness to it, which involves a milieu that allows for that to happen, which is Is something other than very, very rushed like, okay, we have 15 minutes. Let me, let me hear a symptom inventory. So, I can write a prescription and then the next person can come in. That's never conducive to openness and sharing, but if we make environments that are open to that really good things happen.
Establishing Rapport With Patients Helps Paul Conti Unearth Their Trauma
#533: Paul Conti, MD How Trauma Works and How to Heal From It