Should I ask the patient's spouse what they want to see changed? On a major case, yes, and make sure the spouse or financial partner is actually in the room. If this is a big case at the diagnostic visit, the person who shares the money and the bed should be there. Then you get a second motivation source for free. I ask the spouse the same thing I ask the patient: what would you like to see different in your partner? You would be surprised what comes out. The spouse often names something the patient was too proud or too [...]