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I have noticed several psychotic patients bringing this question up directly and unprompted to either my resident or me. One asked my resident when he walked through the door, another who is manic asked me after we had established rapport. In both cases the 'right' answer was pretty obvious: yes.
Problem is, I'm not. I'm more of an atheist/agnostic. So far I have just answered "yes" because the question caught me off guard and I didn't want to derail the entire interview, but this doesn't seem like a great solution. Given that this appears to be a pretty common question coming from psychotic or otherwise seriously mentally ill patients, how do you guys handle the question? I am especially interested in answers from those who are good at answering this when your beliefs are at odds with the patient's.
Also, if your answer is "don't answer" please elaborate on how to do that without offending the patient. If they are pushy about it, not answering seems to be tantamount to saying "no."
Problem is, I'm not. I'm more of an atheist/agnostic. So far I have just answered "yes" because the question caught me off guard and I didn't want to derail the entire interview, but this doesn't seem like a great solution. Given that this appears to be a pretty common question coming from psychotic or otherwise seriously mentally ill patients, how do you guys handle the question? I am especially interested in answers from those who are good at answering this when your beliefs are at odds with the patient's.
Also, if your answer is "don't answer" please elaborate on how to do that without offending the patient. If they are pushy about it, not answering seems to be tantamount to saying "no."