The Silent Patient

Some patients have a lifelong history of shyness. Some of these individuals lack self-confidence. They are very concerned about their self-image and do not want to say or do the wrong thing. These patients are easily embarrassed. Other individuals become hostile or silent as fear of illness develops. Many silent patients are seriously depressed, which may be a primary response as a result of the illness itself or a secondary response to it. These patients commonly have many of the other signs of depression, as seen in their attitude, facial expressions, and posture. The use of open-ended questions with these patients is usually of little value. Carefully directed questioning may yield some of the answers.

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