II. Technique (Mnemonic: CALMER)
- Catalyst for Change
- See Behavior Change Model
- Identify patient's current stage in the change model and strategize with patient on advancing to the next stage
- Alter thoughts (changes feelings)
- Discuss patient's specific negative feelings and their impact on the encounter
- Providers should also identify their own negative feelings
- Listen first (then diagnose)
- Eliminate barriers to communication and find ways to improve doctor-patient relationship
- Make Agreement
- Co-author a health improvement plan with the patient
- Education
- Set reasonable goals for the next follow-up
- Reach out
- Establish self-care strategy