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For Families5 min read

When You Disagree with Your Loved One's Treatment Decisions

Watching someone you love choose a treatment path you do not agree with is agonizing. Here is how to hold love and disagreement at the same time.

You have done the research. You have read the studies. You have talked to other people who have been through this. And you believe — genuinely, wholeheartedly — that your loved one is making the wrong choice about their treatment. Maybe they are rejecting conventional treatment in favor of alternatives. Maybe they are choosing more aggressive treatment than you think is necessary. Maybe they are not fighting as hard as you want them to fight, or fighting harder than you think their body can sustain.

And they are still making the choice themselves. Because it is their body. Their illness. Their life.

This is one of the most painful positions a family member can be in. Your fear for them is enormous. Your desire to protect them is overwhelming. And there is nothing you can do to override their decision — nor should there be, even if you had the power.

Say your piece, once, clearly, with love. If you have concerns about a treatment decision, share them. Be honest. Ask questions: "Have you thought about...?" "Did your doctor mention...?" "Would you be willing to get a second opinion?" Speak from your love, not from your terror. And then listen to their response. Really listen.

And then respect their autonomy. They are an adult. They may be considering things you do not have full visibility into — how they feel in their body, what risks they are willing to take, what quality of life means to them, how they want to spend whatever time they have. Their calculation is not yours to make.

Stay present even when you disagree. The relationship is more important than being right. If you withdraw because they will not take your advice, you lose the ability to be a support to them at all. You can disagree with a decision and still show up. You can be frightened and still hold their hand. Love is big enough to contain disagreement.

Find your own support for the grief of this position. Watching someone you love make choices that scare you is genuinely traumatic. A therapist, a caregiver support group, or a trusted friend can give you space to process your feelings without putting that burden entirely on the person who is ill.

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