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The Boundaries Prescription: Treating Co-Dependency in General Practice

Yusra HASHMI, Khunsha FATIMA and Akram HUSSAIN

Co-dependency subtly permeates everyday relationships, presenting as normal dynamics as a ‘giver’ and ‘taker’, between doctor/patient, parent/child, spouses, etc. While healthy interdependence is essential, difficulties arise when these patterns become habitual cycles of overgiving and rescuing. In General Practice, co-dependency is frequently overlooked, causing clinician burnout, compassion fatigue, blurred boundaries, and patient overdependence. It may also present in patients as medically unexplained symptoms, chronic pain, and fatigue. Describing real patient experiences and reflective clinical practice, we will explore co-dependency as a hidden cause of distress in both clinicians and patients, highlighting its relevance to wellbeing, sustainability, and quality of care.Support participants in recognising co-dependent relational patterns in clinical and personal contexts, understanding how these dynamics contribute to burnout and patient overdependence, and developing practical strategies to promote healthier boundaries, shared care, and patient autonomy. Encourage participants to reflect on their own relational habits and explore ways to foster more compassionate, empowering and balanced interactions in General Practice.Helping participants identify features of unhealthy relational patterns using real-life scenarios to facilitate reflection and discussion. Explaining a clear definition of co-dependency. Describing the Karpman Drama Triangle to explore shifting roles of Victim, Rescuer, and Persecutor within clinical scenarios and reframing it with the Empowerment Triangle, promoting roles as Creator, Coach, and Challenger to support autonomy, accountability, and resilience.  Integrating relational psychology and lived experience, this session offers a novel educational lens on burnout and chronic relational stress. Concepts such as Kintsugi and Ikigai support reframing adversity and rediscovering resilience and purpose.Participants will be equipped to recognise co-dependency as a potential contributing factor and an “ingredient in the pain soup” for patients presenting with chronic pain and fibromyalgia. They will develop skills to address unmet emotional needs through awareness, self-compassion, and boundary-sensitive conversations, supporting patients to redefine self-worth and reduce intergenerational patterns of relational distress.Co-dependency is a modifiable yet under-recognised influence on wellbeing, and is rarely addressed explicitly in medical education. This workshop equips clinicians with practical frameworks to recognise and disrupt unhealthy relational dynamics, setting healthy boundaries while empowering patients to protect clinician wellbeing and supporting more sustainable care.