It becomes a regular occurrence for patients to refuse treatment, many different reasons surround their decision to refuse treatment some due to pain some due to not feeling up to it and some merely just because they do not feel like it. On the opposite end of the spectrum there are patient who refuse treatment because they do not want to recover, or they have been fighting what they feel is a losing battle for to long and have given up the fight and come to terms with the fact that they are not going to recover in their opinion.
What do you do as a therapist, a major part of our job entails motivating people to do things that they never thought was possible. Motivating them to get up even when they think it is impossible, pushing them further and further each day so that they can get to a point where they are stronger than they were yesterday. Now how do you motivate the unmotivated, the one who has given up and the one who wants to die.
If I had to use an example of a patient who has attempted suicide. This patient does not want to live, why would they want to be treated? Is it okay to just leave them and allow them to decline knowing that they are only going to get worse and will inevitably get what they wanted. I would hope as a therapist I would be able change the patients mind to motivate them that they can get better, strive to make a positive impact on their life I would hope that they would find a will to live again. I hope I could make that impact, its something that runs through my mind a lot. I have not had such an encounter yet but I assume there will be an encounter along the way. Depression plays a major role in these patients decision to take their lives, finding someone to give them hope at a point in their life where they have no hope at all is something that I hope I can be that light that lifts them up or at least a part of the team that helps these patients find hope.