This episode explores why change is an unavoidable part of every medical encounter — and why long‑term adherence to treatment plans is often so poor. Patients come to us because something in their health has shifted, yet we frequently treat them as passive recipients of the changes we prescribe. Sustainable change requires partnership, not imposition.

We cover:

• Why every treatment requires change in habits, routines, or behaviour
• How doctors often expect patients to change without involving them in the process
• Why long‑term adherence can drop to 30% when plans aren’t co‑created
• The gap between the ideal world of shared decision‑making and real‑world time pressure
• Why parents often ask “What would you do?” out of fear and uncertainty
• How imposed plans become our plans, not their plans
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