American Board of Psychiatry and Neurology (ABPN) Practice Exam 2026 - Free ABPN Practice Questions and Study Guide

The psychiatrist's primary obligation when evaluating a patient in denial of a major illness is to ensure the patient understands their illness and treatment options. This approach is essential in mental health care because it respects the patient's autonomy while also promoting informed decision-making regarding their health.

Working with patients who are in denial involves a sensitive and empathetic approach. By focusing on educating the patient about their condition and available treatments, the psychiatrist can facilitate a more collaborative relationship. This helps the psychiatrist gauge the patient's level of understanding, address misconceptions, and gradually encourage acceptance of their situation, paving the way for effective intervention and support.

This approach contrasts with other possible strategies that may be less effective or counterproductive. For example, forcefully confronting the patient can lead to defensiveness and further denial, while merely playing along with the patient's denial risks neglecting necessary treatment. Conducting neuropsychological testing immediately may not be appropriate or effective without first establishing a foundational understanding between the psychiatrist and the patient regarding the illness.