How should a dentist handle a CDP patient who genuinely does not have a veto-holder in their life?
By acknowledging the situation honestly and helping them recruit a supportive presence anyway. The veto-holder framework assumes the patient has a spouse, partner, parent, or close friend whose opinion shapes major decisions. Many patients fit that profile. Some genuinely do not. They live alone, lack close family, or have no one in their orbit they would normally consult on health decisions. The doctor’s response is to ask directly: “Is there anyone in your life who has veto power over your deciding to do a good thing for yourself?” If the answer is no, the doctor explains that decisions of this size benefit from a second perspective even when no formal veto-holder exists. A trusted friend, a long-time professional advisor, or even an adult child who lives elsewhere can serve as a sounding board. The patient is invited to bring whoever they trust to the case presentation, on the phone if not in person. Solo decisions on major dental work are possible but harder. Help the patient find support if they want it.
If the answers you are finding here resonate with you, my team and I work with a small group of clients each year. The next step is a complimentary Discovery Consultation and Practice Review with Dr. McAnally.
