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When I’d been in practice for about 7 years, I had one of those patient encounters that keep you up at night, only this one kept eating away at me for years. It was actually a series of encounters with the same family, where I unknowingly watched the effects of a ruptured parent-child relationship progress, and I struggled with knowing how to help.

It began with a 6-month well-child visit. Up to this point, Mom had attended all the well-child visits alone because of Dad’s work schedule. When I walked into the room, Mom laid her son on the exam...

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