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How not to handle a near-death experience

My patient had been silent for about ten minutes—that's when I began to worry

By Anna Blundy   April 2018

"I'm wondering if you want me to worry about you today?" I suggested

Simon seemed unusually relaxed. This is a Skype patient who is usually hyper to the point of mania, always asking me when he’s going to be “fixed” and trying to force life tips out of me.

He feels persecuted by the imagined and real criticisms of strangers, friends and family, and always assumes himself to be in the wrong and deserving of whatever punishment might be on offer. He talks breathlessly, pleading with big eyes. But…

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