How health-care professionals can address medical gaslighting

This article is part of a series on medical gaslighting that has been ongoing for the past few weeks, featuring a study from the University of Windsor and sharing stories from various regions in Canada.

The Association of Faculties of Medicine of Canada is revising the curriculum of medical schools to address a prevalent issue in the healthcare system that many consider to be systemic: medical gaslighting.

Medical gaslighting occurs when healthcare providers dismiss a patient’s legitimate medical concerns, attributing the issue to psychological factors, weight, hormones, gender, etc. This phenomenon disproportionately affects individuals assigned female at birth and those from minority groups.

Connie LeBlanc, the CEO of the Association, emphasizes the importance of healthcare professionals and medical students recognizing and managing their own biases to provide the best possible care for patients.

“We live in a society with inherent biases,” LeBlanc stated. “It is crucial for physicians and all healthcare professionals to work towards reducing the biases they bring to the table or bedside.”

LeBlanc highlights that healthcare professionals may exhibit unconscious biases rather than intentional discrimination. Some attribute this issue to a lack of research and education in the field.

LeBlanc points out that historically, scientific research has underrepresented women and their health concerns, leading to the misconception that their pain is abnormal.

“Have we focused excessively on researching white, middle-aged men? Absolutely,” LeBlanc affirmed. “Women often experience pain that differs from the typical symptoms observed in male patients, labeled as ‘atypical’ due to lack of study.”

She mentions that recent studies are diversifying subjects, and medical schools are incorporating teachings on cultural competence and active listening to combat medical gaslighting.

“Educating on equity, diversity, inclusion, and accessibility is essential. Understanding diverse cultural perspectives on health and strengthening communication skills, particularly active listening, are vital,” LeBlanc explained.

LeBlanc acknowledges that medical gaslighting is a systemic issue but stresses that it should not be the patient’s responsibility to address it.

“Patients should not have to conform to the doctor; it is the doctor’s duty to address the issue,” LeBlanc emphasized.

If a patient feels they are being gaslit, LeBlanc encourages them to speak up and correct any misunderstandings.

“Engaging in uncomfortable conversations is necessary to advocate for the care you deserve,” LeBlanc added.

“Simply raising concerns can prompt doctors to reflect on their approach,” LeBlanc noted, suggesting seeking a second opinion if necessary.

“While challenging due to the shortage of family physicians in Canada, it may be beneficial to seek another doctor who better understands your needs,” LeBlanc advised.

LeBlanc reminds us that doctors, like everyone, started as laypeople and are not infallible.

“Healthcare professionals, including doctors, are not immune to errors, and factors like resource limitations and test waitlists can complicate diagnoses,” LeBlanc explained.

“Striving for optimal care through judicious testing is crucial. We aim for personalized medicine where patients receive appropriate care without unnecessary interventions,” LeBlanc emphasized.

LeBlanc underscores the significance of open communication between patients and doctors to address concerns effectively.

“Patients showing initiative in seeking medical advice deserve acknowledgment and respect for their commitment,” LeBlanc concluded.

“While a doctor’s diagnosis may not always align with a patient’s expectations, dismissing valid complaints is unacceptable,” she added.

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