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Confessions of a Reformed Fixer: Why I Stopped Solving My Patients’ Problems

After 30 years in physiotherapy, I have a confession: I was trained to be a problem-solver, but chronic conditions taught me I was often the problem. Here’s what the research won’t tell you in your continuing education courses: healthcare...

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The Confidence Trap: How Proving Your Knowledge Sabotages Patient Outcomes

Picture this: A newly graduated physiotherapist faces their third patient of the day—a 45-year-old tradesman with shoulder pain. Armed with fresh anatomical knowledge and a burning desire to prove their expertise, they launch into a detailed explanation of subacromial...

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Healthcare clinician having a calm, productive conversation with a patient using strategic communication techniques
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The Three-Question Framework That Keeps You Calm in Heated Conversations

Picture this: You’re about to sit down with a patient who hasn’t done their exercises in three weeks. Your frustration is building before you even start talking. You know this conversation could go sideways fast—they’ll get defensive, you’ll get...

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Four Questions That Transform Patient Resistance Into Commitment

In my previous piece on patient adherence, we explored Michael Pantalon’s six-question framework for helping patients persuade themselves to change. Today, I want to dive deeper into four specific questions from William Miller and Stephen Rollnick’s motivational interviewing work...

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Stop Trying to Convince Your Patients—Help Them Convince Themselves Instead

Picture this: Sarah, a 28-year-old with cystic fibrosis, sits across from you looking frustrated. Despite your detailed explanations about the importance of her airway clearance routine, she’s been skipping sessions. Again. Or consider David, recovering from knee surgery, who...

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Mastering Patient Conversations: The Three Essential Dialogues Every Clinician Needs to Know About

Imagine you’re about to start a physiotherapy session with a patient who’s been struggling with chronic back pain. You’ve got your treatment plan ready, but something feels off. The patient’s body language seems hesitation, their eyes aren’t focused on,...

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When Assumptions Become Reality: The Self-Fulfilling Prophecy of Intentions

In his influential book, “Difficult Conversations“, Douglas Stone brings to light a powerful insight: “When we think others have bad intentions toward us, it affects our behaviour. And, in turn, how we behave affects how they treat us. Before...

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