People who have suffered torture and trauma are not usually prepared to talk about their experiences. However, once it is established that a patient is a survivor of torture, respect and care will engender trust - this is the key to identifying specific problems. Another important point for health care professionals to remember when dealing with someone who is a survivor of torture is that even the most innocuous of treatments may trigger a traumatic response because of some association to a past incident of torture. Even an ordinary medical environment can be detrimental to a healing relationship. For example, a white coat, a sterile-looking interview room, a situation where the professional's role seems superior, powerful, and unquestionable, may reactivate overwhelming terror and fears.
Specific examinations can also add to the trauma experience.
Gynaecological examinations, for example, may be difficult for women who have been raped or molested. Similarly, patients undergoing dental treatment may feel very anxious, if they had been tortured by someone who pulled their teeth out using dental instruments. EEG and ECG leads may bring back memories of electrocution. When dealing with possible survivors of torture, health care professionals should explain the use of instruments prior to performing a procedure. The patient needs to know what is going to happen and why it must be done.