Offering Alternative Preferences

We respectfully propose alternatives to patients’ strong likes and dislikes when we believe their preferences will not be most suited to the particular context or when it does not produce the desired results. Before treatment, clinicians may decide that the strong preferences lack applicability and efficacy. During treatment, clinicians may propose an alternative because the patient shows signs of deteriorating, is not making any progress with their preferred approach, refuses to continue it, or threatens to discontinue.