A matter of timing @Shaz51 . Sometimes I ask Mr Darcy if he would be prepared to tell the doc about something he is complaining about. Other times I will ask if Mr Darcy would like me to to do so and/or advocate for him and if he says yes I don't ask again and speak up. I do let him know I have his best interests at heart and as he has seen positive responses after I have spoken up he does trust me in relation to this.
Sometimes I will suggest that information necessary for best practice has not been tendered (as is the case at present). He agrees and we will follow up to ensure that this is available for next appt.
At appts, if Mr Darcy said he was happy for me to speak up, I will point out that his level of distress is variable and whilst Mr D might be feeling OK at present that his pain/anxiety/ other symptom will wake him at night/if it is bad enough to cause him to cry/other effect.
