Shame

This insecurity is the biggest challenge in my practice: getting people to change their behavior.  Somehow I have to somehow get people to pay attention to their health when they\’d rather ignore it, to be taking medications when they\’d rather not, to be exercising when they don\’t want to, to lose weight when they love cheeseburgers, and to be checking their blood sugars when they\’d rather not know how high they are.  After trying lots of things over the past 20+ years, the one thing I find almost never works is what is usually done: lecturing the patient.