White Coat Syndrome and Hypertension

If you are over a certain age and live in the West, your physician's visits will likely
including a blood pressure check. For better or for worse the number that it registers will
influence your doctor's decision about medications if your blood pressure doesn't fall
into the "normal" range.  

One recent study showed that 30% of all reported high blood pressure readings were a
result of White Coat Syndrome. Another study showed that over 90% of clinical staff
performing those tests were using cuffs that were too small which also can throw off the
test. There are many psychological factors that can cause readings to be inaccurate. The
very fact that you are in a clinical setting awaiting a diagnosis can cause anxiety and
fear which then show up as higher than normal readings.

My client Margaret came to me concerned that she would have to begin taking pills to
control her blood pressure.  During the session it was revealed that each time she had
gone to a doctor over the years she had always received bad news. This had caused her to
associate being at the doctor's office with anticipation of bad news and her blood
pressure would be high. We tapped on all past events and diagnoses. She checked her
blood pressure several times at a pharmacy before going back and retesting at her
physician's office and her levels were back to normal.

Suzanne had an extreme needle phobia dating back to childhood. Again with each
doctor's visit her fear was palpable. Would her doctor recommend a shot? Some blood
work? Each time she visited the office her blood pressure readings were through the roof.
After buying a home monitoring kit she realized it was the fear of being of going in to see
her doctor that was causing the spikes. We tapped away the fear of needles and her blood
pressure has remained normal.

I have also seen White Coat Syndrome show up in clients who are angry with their
physician or their staff. One woman described her anger at noticing the lack of respect
for female patients at her physician's office. Whether a woman was 12 or 80 years of age
the office staff would come into the waiting room and ask for the women by first name
only while the men were addressed by both first and last names.

My husband, a practicing chiropractor, tells me that quite a large number of his patients
actually don't like their allopathic physicians. Here are some of the reasons given for not
switching to more friendly, kinder, compassionate, and caring MDs:

I don't want to hurt his/her feelings by switching
I've gone to him/her for too many years
My partner goes there
It's too complicated to move to a different practice

Studies have shown that the more rapport you have with your primary care physician
the more you are likely to heal faster. A list compiled by the Mayo Clinic found that the
greatest qualities a physician can have are to be confident, empathetic, humane,
personal, forthright, respectful, and thorough.

Tapping on fears of going to the doctor, of receiving bad news, or of trying someone new
if you aren't completely happy, are just some of the ways to get the most out of the
healing partnerships you create between yourself and any healing arts professional.
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