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The Psychology Behind Patient Resistance: What No One Tells You

Here’s what decades of psychological research tells us about human behaviour: the moment someone feels their autonomy is threatened, their brain activates the same neural pathways associated with physical pain. It’s called psychological reactance, and it explains why that...

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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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SMART Goals Are Sabotaging Your Patients (Here’s What Actually Works)

Picture this: Sarah, a 52-year-old office manager with osteoarthritis, sits across from you nodding enthusiastically. You’ve just set the perfect SMART goal together—walk 30 minutes daily for 8 weeks to improve joint mobility. It’s Specific, Measurable, Achievable, Relevant, and...

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When Your Client Says No: Four Hidden Traps That Sabotage Every Conversation

Picture this: You’ve just finished explaining a perfectly sound treatment plan. Your client nods politely, thanks you, and leaves. Two weeks later, they return having done nothing. Sound familiar? Or perhaps you’ve faced the client who outright challenges your...

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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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Perception Matters: Unlocking Patient Adherence Through Understanding

This insightful quote from William Miller highlights a crucial aspect of effective communication and problem-solving in healthcare settings, particularly when dealing with patients who struggle with adherence. It emphasises the importance of understanding and validating the patient’s perspective, even...

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Harnessing Willpower: A Dual Approach for Clinicians

In the words of Charles Duhigg, author of “The Power of Habit,” willpower operates much like a muscle: it can be fortified through practice yet is susceptible to fatigue.  This dual nature of willpower—being both a learnable skill and...

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From Goal Setting to Values Elicitation: A Two-Step Process to Empower Motivation in Healthcare

“Our values influence our motivation. If we don’t have strongly held values, we’ll have little motivation. If our values are strong, our motivation will be equally strong.” – Steve Andreas, NLP Comprehensive In the realm of healthcare, clinicians are...

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Ensuring Client Success: The MAP Process in Rehabilitation

When it comes to rehabilitation and treatment, clinicians often focus on the technical aspects of exercise prescription. However, the success of any intervention lies not just in the what, but also in the how and the when. BJ Fogg,...

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