Dr Laxmi Kathuria reports…

"I am presenting the latest Channel 4 production which is due to air early this year. My capacity in this programme is of Psychiatrist and presenter. The show focuses on body image and disfigurement.

Before starting the process of simple contact with anybody from the television world, I made a conscious effort to read the GMC website which contains generic material about dealing with confidentiality, duty of care and other such principles. I found these extremely helpful as they served as a documented reminder that I was primarily a professional working under a code of practice. I also contacted and consulted with the RCPsych and my defence union. Moreover, I found it very valuable to seek out opinions of my consultant colleagues, particularly my educational supervisor, college tutor and clinical director. Their guidance and experience is second to none and they can provide objective opinions about the media world. There was also the concern that I may be seen as narcissistic or frivolous, and as I am keen to pursue a career in Forensic Psychiatry, professionalism, boundaries and the medium for broadcast had to be cleverly contemplated.

Channel 4 had initially asked me if I was an ‘expert’. The media likes to use terminology such as this. But one has to remember that unless you are credible in the field you are discussing, that no false claims should be made. You have to make everyone aware of your limitations. Do not talk about anything that you are not comfortable with and choose your words carefully.

Whilst dealing with "contributors" within the media, one also has to bear in mind that they are not patients. Make sure they have signed written consent with the production company and are made aware that confidentiality does not apply in your relationship. It is still important to remain discreet and professional. If the production company is experienced enough, they will provide neutral psychological support for the contributors away from the cameras. You should also ask for supervision/someone to help you manage any internal conflicts or issues of transference/counter-transference. After all, in psychiatric MDTs there are always colleagues to support you. I was fortunate enough to have approachable seniors and Gareth Smith (Consultant and TV doctor) to mentor me throughout.

If you are concerned about anything during filming, it is absolutely pertinent that this is raised. No matter how small or frivolous it may sound. There is a duty of care for each contributor and if you feel strongly that certain supports are needed, or in extreme cases that filming must stop then this needs to be communicated. You are bound by the GMC principles and the team should respect that decision. Put things in writing ASAP.

Finally, the GMC provides excellent advice on probity and professionalism and these things have to be borne in mind throughout. This does not only apply to front of camera but also amongst the filming crew, socially and during publicity and interviews. Ask for advice as it is always available."