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Curious wwyd, I saw a new patient this week and something about him seemed “off” so I googled him and found that he was convicted of a white collar crime a couple years ago and had to do prison time. And we’re talking a couple years in prison not just a few months (so based on the timeline he would have gotten out a few months ago now). He was very open about other parts of his life but didn’t mention this.
I know I can’t tell him that I looked him up but this feels weird knowing this as this can be relevant in this specialty, not to mention he had a suicide attempt a year ago after his wife left him. Do I just pretend to know nothing? What if it gets to the point where it would be more relevant (ie. I have suspicions of a personality disorder and I am prescribing a controlled substance for adhd and an antidepressant), however his crime didn’t mean ruin anything re: substances.
So what if you found something and you asked them to share whatever they wanted and then they still didn’t disclose? Especially if it contributes to a diagnosis
True, I actually have been trying to get my practice to implement sending a more thorough history form prior to initial visit incl legal hx so this is a good lesson learned that it could be beneficial
Do you think it would look suspicious if I told him at tre follow up everyone had to complete a legal history form (I can send a form with other social history info not just legal)
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Whether it creates bias I feel is irrelevant, it’s part of the patients whole picture which is important to making a proper diagnosis, no?