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Chapter 6138Timely identification of MID in patients y Improve practitioner knowledge and experience in identifying MIDy Develop practitioner-applicable tools for assessment and for discussing the suspicion of MID with the patient y Early identification of MID by teachers, paediatricians, and public health professionals y Clear information for practitioners on where to request a formal IQ test and how it can be reimbursed y Registration of MID in the medical record through an episode, memo, or attention note y Share knowledge of a confirmed or suspected MID with relevant parties in the healthcare chaina For readability, the term practitioner is used for both GPs and MHNPs; when relevant, GP or MHNP is specifiedTheme 2: Importance and difficulties of establishing a good doctor–patient relationshipParticipants saw a good and sustainable relationship as particularly relevant for this patient group. Knowledge about the patient’s context and lived experiences can aid in assessing symptoms and patients’ followup of practitioner advice. Participants indicated that their necessary extra investment in building a relationship with these patients might be complicated by the vast difference between the lived experiences of a patient with MID and a practitioner, as one GP remarked:...you have to understand more about how the other person is because it’s further away from you. That, I think, is really the crux, and that’s why building that relationship takes more time and also requires more time to ultimately provide good care for mental health complaints. (F2, GP)Additionally, patients may have had negative experiences with care professionals in the past, challenging the establishment of a good relationship even more.In general, participants indicated that, in the relationship with the patient, they often adopted a paternalistic stance regarding decision making, while Katrien Pouls sHL.indd 138 24-06-2024 16:26