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When patients feel good, things get weird.
John asked a great question in the AP group: after a holiday break, patients came back happy, pain-free, and wanting to stretch out visits. Not because they were disengaging, but because they were doing well.
Which is harder to handle than pain.
Here’s the problem beneath the problem:
Feeling good reinforces Pain logic.
Pain logic says: “If I feel fine, I don’t need care.”
We break the situation down into five ideas:
• Beliefs drive behaviour
“I’ve felt fine” isn’t a statement, it’s a worldview. Pain or early Prevention logic. Totally consistent with their experience.
• Experience beats explanation
People trust what they feel more than what we tell them. Feeling good is persuasive. Lectures about prevention aren’t.
• Holidays lie
Different stress. Lower demand. No deadlines. Physiology behaves. The wobble shows up when normal life returns.
• Testing changes the frame
Progress exams are a better story: function before symptoms. Data before opinion. It shifts the goal from “pain gone” to “everything working.”
• Agree to experiment
If they want to push spacing out, make it a trial: tag-testing, clear checkpoints, shared decision-making. Collaboration instead of drift.
The bigger idea:
Reactivations and spacing aren’t clinical problems, they’re belief problems. If you understand the belief, you don’t have to push, sell, or convince. You just guide
To learn more about Aligned Practice
https://insideoutpractices.thinkific.com/products/communities/aligned-practice
Check out the Retention Recipe https://insideoutpractices.thinkific.com/courses/retention-recipe-2-0
To learn more about Reactivate to Accelerate
https://insideoutpractices.thinkific.com/courses/reactivate
Learn more about Daily Visit Communication 2.0
https://insideoutpractices.thinkific.com/courses/daily-visit
Email me - [email protected]
By Martin Harvey5
55 ratings
When patients feel good, things get weird.
John asked a great question in the AP group: after a holiday break, patients came back happy, pain-free, and wanting to stretch out visits. Not because they were disengaging, but because they were doing well.
Which is harder to handle than pain.
Here’s the problem beneath the problem:
Feeling good reinforces Pain logic.
Pain logic says: “If I feel fine, I don’t need care.”
We break the situation down into five ideas:
• Beliefs drive behaviour
“I’ve felt fine” isn’t a statement, it’s a worldview. Pain or early Prevention logic. Totally consistent with their experience.
• Experience beats explanation
People trust what they feel more than what we tell them. Feeling good is persuasive. Lectures about prevention aren’t.
• Holidays lie
Different stress. Lower demand. No deadlines. Physiology behaves. The wobble shows up when normal life returns.
• Testing changes the frame
Progress exams are a better story: function before symptoms. Data before opinion. It shifts the goal from “pain gone” to “everything working.”
• Agree to experiment
If they want to push spacing out, make it a trial: tag-testing, clear checkpoints, shared decision-making. Collaboration instead of drift.
The bigger idea:
Reactivations and spacing aren’t clinical problems, they’re belief problems. If you understand the belief, you don’t have to push, sell, or convince. You just guide
To learn more about Aligned Practice
https://insideoutpractices.thinkific.com/products/communities/aligned-practice
Check out the Retention Recipe https://insideoutpractices.thinkific.com/courses/retention-recipe-2-0
To learn more about Reactivate to Accelerate
https://insideoutpractices.thinkific.com/courses/reactivate
Learn more about Daily Visit Communication 2.0
https://insideoutpractices.thinkific.com/courses/daily-visit
Email me - [email protected]

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