Denial: What Is It, How Do We Recognize It, and What Should We Do About It?

  title={Denial: What Is It, How Do We Recognize It, and What Should We Do About It?},
  author={Anne C. Travis and Swati Pawa and Julia Kim Leblanc and Arvey I. Rogers},
  journal={The American Journal of Gastroenterology},
Many patients experience periods of denial when dealing with illness. The denial may start with the ignoring of symptoms or may manifest as a misremembered discussion with a physician regarding a diagnosis or treatment plan. Denial can delay diagnoses and prevent patients from receiving needed treatment. As physicians, we are sometimes faced with the challenge of working with patients who are unable to move past their denial. However, not all patients who fail to follow our recommendations do… 

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  • Medicine, Psychology
  • 1992
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  • Psychology
    American journal of psychotherapy
  • 1994
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  • Medicine, Psychology
    The American journal of psychiatry
  • 1979
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