How to Work with Challenging Patients « ePractice Manager | Systems for next-level growth

How to Work with Challenging Patients

By ePractice Manager
July 3, 2024

In any dental office, a variety of patients walk through the door each day. While most patients are pleasant and cooperative, making your job enjoyable, you may encounter individuals who present unique challenges for various reasons. It is crucial to offer these patients the same high standard of care extended to all patients. Here are several strategies to ensure that every patient receives personalized, relationship-centered care, regardless of any unique challenges presented.

Be Confident and Calm with Your Approach

When faced with an angry or upset patient, mirroring their emotions is counterproductive. Instead, maintain a composed, professional demeanor that exudes confidence and calm. This approach de-escalates tensions and guides patients towards constructive resolutions. Demonstrating control and empathy makes it easier to effectively address their concerns.

Acknowledge the Patient

Acknowledging someone’s concerns is crucial as it validates their feelings and demonstrates empathy. It fosters trust and open communication, paving the way for constructive dialogue and potential resolutions to issues.

Address the Patient’s Concern

If a patient is hesitant about a procedure, take the time to understand their concerns. Ask open-ended questions to gather details about their reluctance. With this information, you can provide personalized recommendations that align with the standard of care, while addressing their specific fears or concerns. This sincerity conveys respect for their perspective and underscores your commitment to their well-being.

Listen with Intention

Listening with the goal of understanding is crucial. Approach each interaction with a genuine desire to grasp the patient’s viewpoint. This means not just listening to respond, but listening to comprehend their perspective. When patients feel genuinely heard, it fosters trust and paves the way for more constructive interactions.

Avoid Ego-Driven Behavior

Steer clear of the urge to assert correctness or pass judgment. Lecturing or adopting a superior tone can alienate patients, triggering defensiveness. Instead, prioritize active listening and asking genuine questions. Recognize and respect differing values and perspectives, employing empathy to offer support without criticism. This approach cultivates a positive, collaborative dynamic.

Establish Clear Boundaries

While employing these strategies is essential, defining boundaries for acceptable behavior is equally critical. Identify behaviors deemed aggressive or inappropriate, establishing these as non-negotiable points within your practice. If a patient crosses these boundaries, address the situation promptly and escalate if necessary. Clear boundaries ensure that your practice remains a safe and respectful environment for both staff and patients.

By implementing these strategies, dental offices can effectively manage difficult patients while maintaining a high standard of care. Through confidence, curiosity, intentional listening, empathy, and clear boundaries, you can turn challenging interactions into opportunities for building trust and delivering exceptional patient care.


Here at ePractice Manager, we understand that running a practice is stressful, which is why we offer a full suite of onboarding, training, and management resources—to help you focus on what matters most, patient care.