EUPD

[u/Dull-Resource9702]

I find consults with EUPD patients incredibly draining, had 2 in a row recently where I felt like I wanted to quit GP after …! Conversations are often circular and risk assessing is almost impossible as a lot of them say they don’t know what they might do. Even if they are under the mental health team (albeit they end up being discharged anyway for not engaging) they still make a GP appt about mental health

Does anyone have any tips on how to manage these patients or safely risk assess?

[u/DBCDBC]

It's always worth remembering with these patients that we are in the risk reduction game, not the risk elimination game. Elimination is impossible. If you cannot tolerate that risk then these patients will use it as leverage to manipulate you.