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I have a very nice lady seeing me for chronic pain and she insists on taking Loratabs before she leaves the house to come to me despite my asking her not to. This will be our third visit and I don't have any hope that she will be free of the medication when she comes.
The problem I have found with her is that she is already in a relaxed state. Their would typically be a sharp contrast between normal waking consciousness and deep hypnosis, but while on Loratab, I'm not seeing physical signs that she is where she needs to be.
For instance, after 40 minutes of deepening, I couldn't get any amnesia or anesthesia. Well, she said she couldn't feel me poking her with a toothpick, but I'm not sure she could have felt it anyway because I poked her before she went in and she said she could "kinda" feel it - which is what she said while in hypnosis.
Any advice?
Even though I am really committed to helping people, I don't know if I can help her if she is not sober. Unless, someone has experience and results from continuing therapy with someone on painkillers like Loratab, I'm thinking of making her a CD to use for pain before she usually takes a loratab and telling her not to come back to me until she can get to me without taking the painkiller.
What do you think?
P.S. I've heard Gerald Kein's advice on the subject and HMI's advice which essentially says they have found that you can't work on people under the influence unless it's marijuana or similar.
Thanks in Advance!
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Permalink Reply by Michael Ellner on March 29, 2010 at 4:28am Michael E:
I respect your opinion and understand the work that you do in the industry. Your position in the industry in itself doesn’t validate your opinion.
The client is taking Lora tabs and also taking morphine to sleep.
Either this client is scoring drugs on Main Street or she has an ongoing relationship with a physician. I think Michel Miller was prudent in getting a referral from this client’s doctor. This (how did you put it?) Jackass would have asked the client in question for a referral also. Don’t see that as a lack of compassion for her condition but rather that she has an attending physician. I respect that relationship.
We each must define our scope of practice.
I believe the original question was about a client that over medicates before a session. Perhaps we should focus on that and less on how differently we conduct our practices…
Yours in Health,
John Brochu
BrochuHypnosisCenter.com
Michael Ellner said:John,
My point was that flexibility saves the day and you agreed: "Each pain management case is unique."
You asked:
"How can one work with blatant disregard of the attending physician and then hope to be accepted by those we have chosen to circumvent. "
I don't know what you are talking about John? I haven't seen any evidene of any thing like a blatant disregard of the attending physician in any post in this thread.
FYI- I work and play very well with licensed frontline pain practitioners and I am regarded as a leading expert in the field hypnotic pain relief
The fact is that many chronic pain clients will have give up on their attending physicians long before they see us -- the meds didn't help or the adverse effects were just too much. These people have been told by their attending physcians that that's the best that they can do and that they will have to live with their pain and no disrespect intended -- my thinking is only a jackass would insist that such a client get a medical referral --
You asked:
"Michael are we part of the health care team or are we the primary care giver"
Every client is unique and I am well aware of when to insist on a doctor's referral and when it is not necessary.
Permalink Reply by Walt on March 29, 2010 at 4:40am
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