Why do I keep re-asking patients what motivates them at every visit? Because the real reason a patient wants treatment rarely comes out the first time you ask, and it is the most valuable thing you can learn. At the complete physical I ask again, what do you want to see different in yourself? This is my last clean chance to surface the pain that is actually driving them, before I commit to a plan. People hold back. They give you the safe answer first, then the true one once they trust you. If you only ask once you build your [...]