What should someone do if they find themselves repeatedly uncomfortable with a patient’s decisions?

Providing guidance while allowing the patient control over their decisions is integral to the practice of genetic counseling. This approach respects the patient's autonomy, which is a fundamental principle in healthcare. It is essential for counselors to support their patients by providing them with information, discussing options, and exploring the implications of their choices. However, the final decision should rest with the patient, ensuring that they feel empowered and in control of their healthcare journey.

This method fosters a collaborative relationship, enabling patients to express their values and preferences. It also shows that the counselor acknowledges and supports the patient's right to make decisions that align with their own beliefs and circumstances. This balance between guidance and respect for autonomy is essential for effective counseling and can help mitigate feelings of discomfort by focusing on the patient’s perspective and needs.

While expressing discomfort and consulting with peers can be part of a counselor's self-reflection and professional development, they should not overshadow the importance of the patient's autonomy in decision-making. Intervening and making decisions for the patient undermines their agency and can erode trust in the counselor-patient relationship. Thus, the chosen approach of providing guidance while allowing the patient to maintain control is the most ethically sound and effective in promoting patient-centered care.