If You Can’t Choose Without Shame, That Isn’t Care — It’s Control
- Jan 15
- 3 min read
There’s a version of healthcare that looks professional on the surface but quietly erodes something sacred underneath:
Your sovereignty.
If you cannot make choices within a practitioner’s framework without being shamed—if “doctor knows best” is treated like a moral law—then what you’re in isn’t care.
It’s hierarchy.
It’s the belief that because someone is trained in medicine, their voice supersedes your lived experience… as if you can’t possibly know your own psychology, your capacity, what you’re ready for, what you consent to, or what you choose.
Training matters. Experience matters. A care model matters.But none of those give anyone ownership over another human being.
Consent Isn’t a Courtesy. It’s a Boundary.
In a real healing relationship, consent is not an accessory. It’s a foundation.
People are allowed to decide what they are ready for, what tradeoffs they accept, and what pace their system can actually sustain. When those choices are met with blame, shame, or guilt, the relationship shifts.
The practitioner may still be “treating,” but they are no longer partnering.
And without partnership, care becomes control.
The Difference Between a Care Model and a God Complex
Every practitioner has a lens. That’s normal—and necessary.
Your training gives you pattern recognition. It gives you guardrails. It gives you a method for navigating complexity.
But a lens becomes dangerous when it’s treated as the entire universe.
A care model sounds like:“Here’s how I understand this, here are the options, and here’s what I recommend.”
A god complex sounds like:“This is the only right interpretation, and your questions mean you’re wrong.”
Ubiquitous righteousness is not wisdom. It’s a red flag.
Truth is quiet and constant.
Truth can handle inquiry.
Truth doesn’t need enforcement.
Truth doesn’t recruit humiliation to protect itself.
The Compliance Trap
A lot of people have been trained to think a “good patient” is an agreeable patient.
But agreement is not the same thing as understanding.
Compliance is not the same thing as consent.
Silence is not the same thing as safety.
When someone feels pressured to nod along to avoid being shamed, they disconnect. They stop asking questions. They stop listening to their own signals. They trade clarity for approval.
That isn’t healing. That’s survival behavior.
“What If Their Choice Affects Other People?”
If someone’s choices truly create risk to others, that doesn’t justify shaming them into compliance. It clarifies boundaries.
An ethical practitioner can say:
“Here are the safety requirements for my clinic.”
“I can’t provide care under these conditions.”
“I’m not the right provider for you.”
“Here are alternatives and referrals.”


