Beverly, Elizabeth AnnHultgren, Brittney A.Brooks, Kelly M.Ritholz, MarilynAbrahamson, MartinWeinger, Katie2013-03-012011Beverly, Elizabeth A., Brittney A. Hultgren, Kelly M. Brooks, Marilyn D. Ritholz, Martin J. Abrahamson, and Katie Weinger. 2011. Understanding physicians’ challenges when treating type 2 diabetic patients’ social and emotional difficulties. Diabetes Care 34(5): 1086-1088.0149-5992http://nrs.harvard.edu/urn-3:HUL.InstRepos:10357608Objective: To explore physicians’ awareness of and responses to type 2 diabetic patients’ social and emotional difficulties. Research Design and Methods: We conducted semistructured interviews with 19 physicians. Interviews were transcribed, coded, and analyzed using thematic analysis. Results: Three themes emerged: 1) physicians’ awareness of patients’ social and emotional difficulties: physicians recognized the frequency and seriousness of patients’ social and emotional difficulties; 2) physicians’ responses to patients’ social and emotional difficulties: many reported that intervening with these difficulties was challenging with few treatment options beyond making referrals, individualizing care, and recommending more frequent follow-up visits; and 3) the impact of patients’ social and emotional difficulties on physicians: few available patient treatment options, time constraints, and a perceived lack of psychological expertise contributed to physicians’ feeling frustrated, inadequate, and overwhelmed. Conclusions: Recognition and understanding of physicians’ challenges when treating diabetes patients’ social and emotional difficulties are important for developing programmatic interventions.en-USClinical CareEducationNutritionPsychosocial ResearchJournal Article2013-03-0110.2337/dc10-2298