Patient Communication: How to Have the Hard Conversations in Practice

Recorded On: 03/01/2022

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Join Dr. Alli Totzke and Ms. Serena Norris as they discuss how to have difficult conversations with your patients.  While chiropractic physicians are trained to identify mental health flags, improvement is needed in identifying those flags and triaging them into practical uses – especially at a time when patients may be more vulnerable due to the isolation or changes in resources for mental health brought on by a global pandemic. 

In this webinar, you will learn how to evaluate patients without drawing significant attention to their vulnerabilities, as well as how to provide direction on resources or referral opportunities for mental health care.  You will also take away tactics to help patients remove themselves from dangerous situations (e.g., crisis centers).  This course covers all patient ages and briefly touches on marginalized communities and cultural awareness to help you understand customs that may cause different patients to believe their situations are acceptable based on socialized experiences or learned coping mechanisms. 

Key takeaways include: how to identify red flags of patients in high-risk situations; how recognize where to report concerning behaviors based on state-specific or ethical responsibilities; and how to manage expectations and document the conversations in order to protect yourself or the patient in potential court proceedings.

Learning Objectives:

1. Identify red flags of patients in high-risk situations. 

2. Recognize where to report concerning behaviors based on your state and ethical responsibilities. 

3. Manage expectations and how to document this to protect yourself as well as the patient if ever used in a court of law.

This disclaimer exists to inform the viewer that during this presentation, one of the slides shown incorrectly identifies a group due to a minor error. The correct acronym the presenters wished to display was LGBTQ+. We apologize for this inconvenience, and hope that you recognize this information exists to replace what is presented. If you have any further questions please feel free to contact us at for more details regarding this topic. We have updated the handout/PowerPoint to reflect this correction. 

Alli Totzke


Dr. Alli Totzke is a recent graduate from National University of Health Sciences, IL who is practicing in Montpelier, VA. She practices in a rural area where it's common to have patients thank her in farm fresh vegetables. She has been involved with ACA since her first trimester of school and has held several positions within SACA and ACA. She is currently one of the NextGen legislative vice-chairs and has a passion for advocacy at all levels. She practices acupuncture as well as being Webster Certified, adding to her practice skills. In her free time, she enjoys playing board games and working on local public policy efforts. 

Serena Norris


Ms. Serena Norris is currently a student at Capella University receiving her master's in clinical mental health counseling. She resides in Rochester, New York while taking her courses online and enjoys training her dogs for therapy in her free time. Serena has been acknowledged for her studies by the National Society of Leadership and Success (NSLS) as well as her chapter association Chi Sigma Iota through Capella University. She also has her own mental health website where she posts weekly blogs on mental health disorders and self-education It's Okay to not be Okay – Mental Health Blogs.


Patient Communication: How to have the Hard Conversations in Practice
Recorded 03/01/2022
Recorded 03/01/2022
Quiz - Patient Communication: How to have the Hard Conversations in Practice
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
License Information
2 Questions
2 Questions Please provide your Chiropractic License number and state
Post-Webinar Survey
5 Questions
5 Questions Post-Webinar Survey
1.00 CE Credits credit  |  Certificate available
1.00 CE Credits credit  |  Certificate available Certificate for CE's