Proxy consultation, also known as consultation by proxy, involves seeking medical or psychiatric advice and guidance on behalf of someone else who is unwilling or unable to do so themselves. Their refusal can be driven by stigma, shame, or fear of judgment. This type of consultation is particularly relevant in India, where cultural and social factors can make it difficult for individuals to seek help directly.
While face-to-face consultations are often the most effective, technology-assisted consultations, such as teleconsultations or eConsultations, offer a valuable alternative, especially for individuals or families who cannot access their desired specialist.
Proxy consultation can be beneficial when an individual is experiencing symptoms such as:
- Depression
- Anxiety
- Psychosis
- Anger management issues
- Substance abuse
The Role of Stigma
The stigma associated with mental health issues in India can be a significant barrier to seeking help. Individuals may fear being labelled, stigmatised, or discriminated against, leading them to avoid seeking professional care. Proxy consultation can provide a way to address these concerns and encourage individuals to seek the help they need. And by seeking help on behalf of their loved ones, families can help to reduce the stigma associated with mental health issues.
Key points:
- Who Can Benefit: Proxy consultation can be beneficial for individuals with mental health issues, substance abuse problems, or other behavioural difficulties who are unwilling or unable to seek help on their own. It can also be helpful for families and caregivers who are concerned about their loved ones but don’t know how to support them best. It can help them understand their loved one’s condition and its impact on their lives.
- Types of Issues: Proxy consultation can be sought for a variety of issues, including depression, anxiety, psychosis, anger management problems, alcohol abuse, and other mental health and behavioural concerns.
- Process: A proxy consultation typically involves the family or caregiver contacting a mental health professional or other healthcare provider to discuss the situation. The professional may then interview the individual or guide the family in approaching and encouraging them to seek help. They can be conducted as a video consultation, offering enhanced confidentiality, convenience and comfort in their personal spaces.
- Benefits: Proxy consultation can be a valuable tool for families and caregivers to understand the situation better and find ways to support their loved ones. It can provide families with a safe and supportive space to communicate their concerns and offer support. It can also help motivate individuals to seek professional help and address their issues.
- Challenges: Proxy consultation can be challenging, especially if the individual resists seeking help. It’s essential to be patient and persistent and to approach the situation with empathy and understanding.
Recommendations:
- Seek professional guidance: If you’re considering a proxy consultation, it’s essential to consult with a mental health professional or other healthcare provider to discuss the best approach for your specific situation.
- Be patient and supportive: Proxy consultation can be complex, but it’s essential to be patient and supportive of your loved one.
- Offer resources: Provide your loved one with information about mental health services, specialists & other resources and support groups.
- Focus on the individual’s well-being: Remember that the goal of proxy consultation is to help your loved one, not to control them.
Conclusion
Proxy consultation can be a valuable tool for families and caregivers who are concerned about their loved ones’ mental health and well-being. By seeking professional guidance and support, you can help your loved one get the help they need and improve their overall well-being.
Ps: This was previously published as a podcast. Listen to this Mind Matters podcast which intends to raise awareness, a cornerstone of any ‘mental health toolkit’.
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Read Dr Roshan Jain’s blogs and articles on emotional wellness. Subscribe to his YouTube channel Mindism
© Dr Roshan Jain Sept 2024