Abstract

Abstract:Multidisciplinary healthcare workers describe interactions with "difficult" patients that have shaped their lives and their clinical practice. The narrators recall navigating the push-pull of empathy and frustration to forge therapeutic patient relationships in inhospitable, under-resourced environments. Their stories offer glimpses into the traumatized people hiding behind "difficult" patient facades. This commentary explores how the narrators engaged in empathy and obligation to build trusting relationships with patients. To protect themselves and their patients, healthcare workers must engage beyond individual clinical duties to help remodel American healthcare. They should be encouraged to advocate for implementation of trauma informed care and to engage in public discourse about transforming healthcare for the good of healthcare workers, patients, and families.