http://www.patientcentred.co.uk/

Patient Centred Training, Sevenoaks (2026)

03/06/2026

𝐈𝐌𝐏𝐎𝐑𝐓𝐀𝐍𝐓 - 𝐐𝐀 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧𝐬 𝐢𝐬 𝐡𝐞𝐫𝐞!

I’ve been waiting to send this email for a looooong time…

… Quadrant Analysis Foundations is now open for enrolment!

This is quite possibly the most excited I’ve been for a new course for a long time, and I’m so excited to be finally sharing it with the profession.

If you ever felt like you have more options than direction….

… or don’t get why certain patients just don’t respond like they “should”...

… or just want to get better results without having to buy endless new tools & gadgets…

… this is for you.

Quadrant Analysis suits the curious, open-minded practitioner who wants to apply their skills in the most strategic way possible, whilst also having a lot more fun in practice.

In fact, that’s one of the most common bits of feedback from practitioners after starting QA - they find themselves enjoying practice more than they ever felt possible - I know I have!

Anyway, the full course details are at the link below - we’ll be going live with Week 1’s content on Friday 12th June - at which point 𝐞𝐧𝐫𝐨𝐥𝐦𝐞𝐧𝐭 𝐜𝐥𝐨𝐬𝐞𝐬.

So if you want to join myself and the rest of the QA Tribe, you’ll want to check that our ASAP.

Link for full details and enrolment is in the comments.

26/05/2026

𝐓𝐡𝐞 𝐡𝐢𝐝𝐝𝐞𝐧 𝐥𝐚𝐲𝐞𝐫 𝐛𝐞𝐡𝐢𝐧𝐝 𝐭𝐡𝐨𝐬𝐞 𝐫𝐞𝐜𝐞𝐧𝐭 𝐭𝐫𝐚𝐢𝐧𝐢𝐧𝐠𝐬…

𝘉𝘦𝘦𝘯 𝘬𝘦𝘦𝘱𝘪𝘯𝘨 𝘵𝘩𝘪𝘴 𝘣𝘢𝘤𝘬 𝘧𝘳𝘰𝘮 𝘺𝘰𝘶…

Over the last 3 weeks, I’ve shared a few free training videos with you on Quadrant Analysis.

If you just watch those (and do go back and watch them if you haven’t), you’ll already have some new knowledge you can apply in clinic tomorrow.

The more important thing, however, is that those videos were not 3 random clinical tips.

They were 3 small glimpses of a much bigger way of thinking - one that has, for me, changed practice more than anything else I’ve learned in the last 10+ years.

Underneath all of those examples, there’s a deeper problem that many of us get stuck in without realising: 𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞-𝐬𝐡𝐚𝐩𝐞𝐝 𝐠𝐮𝐞𝐬𝐬𝐰𝐨𝐫𝐤.

It’s not because we’re undertrained, underskilled, or because we tend to focus on the painful areas either.

In fact, plenty of good DC’s already assess the whole body, think globally, and talk about patterns.

But assessing more areas is not the same as having a reliable way to decide what those findings 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺 𝘮𝘦𝘢𝘯.

It doesn’t tell you what matters most in this case, or where to start.

And it definitely doesn’t tell you which findings are relevant signals, vs just noise.

That’s the missing layer… and what my next course is really about.

Not another guru-led technique system with rigid rigid protocols, or someone telling you to throw out the tools you already use and “just adjust”.

It’s about giving you the map 𝘣𝘦𝘧𝘰𝘳𝘦 the methods.

The other day, someone in the QA coaching group told me that one of the biggest improvements they'd already seen was that “𝘢𝘭𝘭 𝘵𝘩𝘦 𝘵𝘰𝘰𝘭𝘴 𝘐’𝘥 𝘨𝘢𝘪𝘯𝘦𝘥 𝘧𝘪𝘯𝘢𝘭𝘭𝘺 𝘴𝘵𝘢𝘳𝘵𝘦𝘥 𝘮𝘢𝘬𝘪𝘯𝘨 𝘮𝘰𝘳𝘦 𝘴𝘦𝘯𝘴𝘦.”

(And he’d only joined a couple of months ago!)

That’s exactly what QA is all about.

A better way to read the case in front of you, so you can use the tools you’re already good with more intelligently - with better timing, better prioritisation, and a clearer sense of why you’re choosing one route over another.

And if you’ve spent years collecting techniques or tools, getting inconsistent results, and quietly wondering why it still feels like guesswork more often than it should…

… this is exactly the problem the course is designed to solve.

It’s for the chiropractor who wants to become a better problem-solver.

Not someone looking for “the one” technique, or just Flying 7 their way through practice.

Someone who wants to think more clearly, stay more curious, and stop feeling like complex cases are just a slightly more sophisticated form of trial and error.

So next week, I’m going to share the full course properly.

What it is, what’s inside, who it’s for...

… and why I think it could be a massive upgrade for the right practitioner.

Keep an eye out for that very soon…

19/05/2026

𝐅𝐑𝐄𝐄 “𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐂𝐥𝐚𝐫𝐢𝐭𝐲” 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 - 𝐏𝐚𝐫𝐭 𝟑

Part 3 of my free Quadrant Analysis training is here!

In this final video, I walk you through some key lessons from practice where QA made a huge difference - not just in outcomes, but in how I thought through the case in the first place.

If you haven’t caught up on the last 2 don’t worry, you can still watch this now and grab Parts 1 & 2 in the comments.

Check it out and see:

- 3 tricky cases where looking beyond the obvious changed everything
- Why almost all practitioners would have completely missed these keys
- How Quadrant Analysis gave me critical options beyond the standard approach (which would probably have kept us stuck)

And next week, I’ll share more about the course Rob and I are putting together - what’s inside, who it’s for, and why I think it could be a massive upgrade for the right kind of practitioner.

Keep an eye out for that…

12/05/2026

𝐅𝐑𝐄𝐄 “𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐂𝐥𝐚𝐫𝐢𝐭𝐲” 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 𝐏𝐚𝐫𝐭 𝟐...

Your next Quadrant Analysis training is here, and it’s a good ‘un…

Part 1 went out last week, and you’ll definitely want to catch that if you haven’t yet.

Unlike most fluffy “freebies”, I packed as much valuable content into those 10 minutes as possible.

One colleague messaged me to say they’d already been using it in clinic, getting great results with both patients and their own shoulder issues!

If you haven’t watched it yet, make sure to do so here before it comes down again…

Today though, I’m sharing Part 2…

This one is all about a very different kind of patient - the ones who don’t respond the way you expect, seem to flare up unpredictably, or seem to get great results from just one treatment… and then unravel again by the next.

Those patients who leave you wondering “𝘐 𝘬𝘯𝘰𝘸 𝘸𝘩𝘦𝘳𝘦 𝘵𝘩𝘦 𝘱𝘢𝘪𝘯 𝘪𝘴 𝘤𝘰𝘮𝘪𝘯𝘨 𝘧𝘳𝘰𝘮… 𝘴𝘰 𝘸𝘩𝘺 𝘢𝘳𝘦𝘯’𝘵 𝘵𝘩𝘦𝘺 𝘨𝘦𝘵𝘵𝘪𝘯𝘨 𝘣𝘦𝘵𝘵𝘦𝘳?”

If that sounds familiar (and if you’re being honest with yourself, I bet it does) then this video will hit home for you.

It walks you through:
- the patient type that often looks mechanical, but doesn’t behave like one…
- subtle clues that can help you spot them earlier and manage expectations better…
- why having some specific extra options can take a huge amount of pressure off you as the practitioner

In the final video, I’m going to show you how some of this starts to come together in real cases - and why QA has made practice not just more effective for me, but a lot more enjoyable too.

05/05/2026

“𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐂𝐥𝐚𝐫𝐢𝐭𝐲” - 𝐅𝐑𝐄𝐄 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 𝐢𝐧𝐬𝐢𝐝𝐞…
𝘈𝘯𝘥 𝘵𝘩𝘪𝘴 𝘪𝘴 𝘫𝘶𝘴𝘵 𝘵𝘩𝘦 𝘣𝘦𝘨𝘪𝘯𝘯𝘪𝘯𝘨…

Part 1 of my free training on Quadrant Analysis is live!

I’ve been building up to this topic for a while now, and I know it’s going to seriously move the needle for many of you…

Today’s video shows you one of the most common blind spots chiropractors tend to have in their assessments…

… plus, a simple way to start spotting (and correcting!) it in your patients this week.

If you’ve ever had a case where you were sure of the diagnosis, but still worried you might be missing something, I think you're going to love this one.

You’ll also discover:

1. why finding the pain-generating structure still doesn’t tell you what this patient actually needs
2. the hidden place many chiropractors overlook when dealing with chronic spinal issues
3. a simple instant feedback style approach you can try straight away to start finding these “silent” issues

Next week I’ll share the second free training - how to spot a very different type of patient that trips a lot of practitioners up… 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘭𝘺 when your typical approach doesn’t seem to be getting the results you hoped.

28/04/2026

[𝐈𝐌𝐏𝐎𝐑𝐓𝐀𝐍𝐓 - 𝐍𝐞𝐰 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠 𝐢𝐧𝐜𝐨𝐦𝐢𝐧𝐠…]

I've been looking forward to hitting send on this email for a while now…

This last month, I’ve been writing about one of the biggest challenges that thoughtful colleagues face in practice - navigating through the seemingly the endless choice of methods, techniques and systems.

Today, I’m revealing what all of those emails have been building towards…
… a brand new training, on something that has frankly revolutionised my practice over the last decade.

It’s called 𝐐𝐮𝐚𝐝𝐫𝐚𝐧𝐭 𝐀𝐧𝐚𝐥𝐲𝐬𝐢𝐬 - and no it’s not another technique system.

Neither is it a set of tools nor specific adjustments that you’re supposed to use for everyone.

And it’s definitely not a rigid formula or flowchart for what you’re “supposed” to do with every patient.

It’s something far bigger than that - a clinical thought framework, based on a unique set of ideas and concepts (not 𝐫𝐮𝐥𝐞𝐬, crucially).

Quadrant Analysis gives you a way of making better decisions about what matters most, where to start, and what to prioritise for the patient in front of you.

And critically, you can do so with the tools and techniques you already have - whether that’s straight adjusting, or needling, or rehab, or any of the 3 letter acronyms like SOT, DNS, ART that our profession loves so dearly ;).

That’s why I’ve found it so valuable - it’s been the missing piece in my practice for years.

It gave me a much clearer way to think through cases...
..without needing to become slower, more complicated, or more dogmatic.

And over time, it’s become absolutely fundamental to how I practise.

I’ve recorded a short video to explain a bit more about what QA is, why I think it matters, and why I’ve been so keen to finally share it properly.

Over the next couple of weeks, I’m going to share a bit more of the thinking behind it, who it’s for, and why I believe it solves a problem that most of us were never really trained to handle.

If the emails so far have been hitting a nerve, there’s a good chance this will start to make a lot of sense.

14/04/2026

𝐓𝐡𝐞 𝐮𝐧𝐜𝐨𝐧𝐬𝐜𝐢𝐨𝐮𝐬 𝐛𝐞𝐥𝐢𝐞𝐟 𝐭𝐡𝐚𝐭’𝐬 𝐬𝐥𝐨𝐰𝐢𝐧𝐠 𝐲𝐨𝐮𝐫 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐝𝐨𝐰𝐧

(“𝘐𝘴 𝘵𝘩𝘪𝘴 𝘪𝘵?” 𝘗𝘢𝘳𝘵… 5, 𝘐 𝘵𝘩𝘪𝘯𝘬?)

So last week’s email certainly got a fair bit of attention… and made a few folks feel some feelings….

(𝘐𝘧 𝘺𝘰𝘶 𝘮𝘪𝘴𝘴𝘦𝘥 𝘪𝘵, 𝘐 𝘴𝘵𝘳𝘰𝘯𝘨𝘭𝘺 𝘳𝘦𝘤𝘰𝘮𝘮𝘦𝘯𝘥 𝘴𝘵𝘰𝘱𝘱𝘪𝘯𝘨 𝘯𝘰𝘸 𝘢𝘯𝘥 𝘤𝘩𝘦𝘤𝘬𝘪𝘯𝘨 𝘵𝘩𝘢𝘵 𝘰𝘶𝘵 𝘧𝘪𝘳𝘴𝘵 𝘍𝘠𝘐 - 𝘴𝘰𝘮𝘦 𝘣𝘢𝘤𝘬 𝘩𝘦𝘳𝘦 𝘢𝘧𝘵𝘦𝘳)

After all, folks who are married to their technique system don't usually like it when you question it’s assumptions…

But I did also get some more thoughtful responses, including a few who have been on my list more or less since the beginning.

I’ve been discussing this topic informally for a while now, and every time I do, a sizable fraction of practitioners tell me they really relate to the challenge.

“How do I know what to focus on, when everyone says they’re right?”

But there’s also a common question that tends to come up when I suggest taking a more personalised approach to assessments:

“𝘖𝘬𝘢𝘺, 𝘣𝘶𝘵 𝘥𝘰𝘦𝘴𝘯’𝘵 𝘵𝘩𝘢𝘵 𝘮𝘢𝘬𝘦 𝘵𝘩𝘪𝘯𝘨𝘴 𝘴𝘭𝘰𝘸𝘦𝘳 𝘢𝘯𝘥 𝘮𝘰𝘳𝘦 𝘤𝘰𝘮𝘱𝘭𝘦𝘹?”

After all most of my audience don’t have long half-hour plus appointments (and neither do I, in fact).

It’s understandable to equate being “more thorough” to needing more time.

Longer assessments, more testing, more education…

… more things to think about.

And if like me you run a tight ship in terms of appointment length, that sounds like the last thing you need.

Deep down, I think a lot of practitioners carry around this unspoken assumption:

“𝘐𝘧 𝘐 𝘸𝘢𝘯𝘵 𝘵𝘰 𝘥𝘰 𝘢 𝘮𝘰𝘳𝘦 𝘵𝘩𝘰𝘶𝘨𝘩𝘵𝘧𝘶𝘭, 𝘭𝘦𝘴𝘴 𝘧𝘰𝘳𝘮𝘶𝘭𝘢𝘪𝘤 𝘫𝘰𝘣, 𝘐 𝘯𝘦𝘦𝘥 𝘵𝘰 𝘴𝘢𝘤𝘳𝘪𝘧𝘪𝘤𝘦 𝘴𝘱𝘦𝘦𝘥, 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘯𝘶𝘮𝘣𝘦𝘳𝘴… 𝘢𝘯𝘥 𝘪𝘯𝘤𝘰𝘮𝘦”

But whilst I used to think this way myself, I’ve come to realise over time that it’s not actually true.

In fact, sometimes the opposite is the case.

What I’ve learned from working with some truly great, best-in-the-world practitioners, is that the thing that wastes time in practice isn’t being more thorough…

… it’s making poor choices early on, and going down the wrong path for several visits before realising the error.

It’s defaulting to the same familiar patterns with patients, and then having to course-correct later when it doesn’t work.

Or, like I talked about in a recent email, doing the whole eclectic “a bit of this… a bit of that…” approach, and hoping something happens to stick.

That’s what slows you down - it creates uncertainty, both in you and your patient, and leaves you feeling you’re circling the issue rather than solving it.

So yeah, more tests can take a bit more time, and unnecessary complexity 𝐝𝐞𝐟𝐢𝐧𝐢𝐭𝐞𝐥𝐲 does.

But better reasoning… that does the opposite.

And often it can simplify things dramatically.

(Note I didn’t say “made things easier”... if simplifying was easy, we’d all do it)

Because instead of wondering which of the 5 different approaches you could with this patient, you start getting clear on what would move the needle the most, right now.

Both in terms of what’s driving the underlying issue, but also what 𝐝𝐨𝐞𝐬𝐧’𝐭 need your attention right now.

It doesn’t always mean you’ll get that miracle result in the first 30 seconds (though on the occasions it does, it feels great!)

Sometimes it can mean you just get there with less wandering (and less wondering, in fact), and less second-guessing.

I think a lot of what confuses us as clinicians if we’ve been false a false dichotomy, of two unappealing choices:

1. Stick to a technique system, let it do the thinking for you, and hope it works… or
2. Become a deeply thoughtful and painstakingly detailed clinicians, with 2 hour assessments, and 40 minute follow ups.

Now if either of those are your jam, more power to you.

But they aren’t the only options.

As it turns out, there’s a version of practice that is both more thoughtful, AND more efficient.

It allows you to stay curious without being overwhelmed, and offer individualised care that’s also decisive and action-oriented.

And for me, that appeals a whole lot more - because if I’m being completely honest, I don't have a whole lot of interest in changing my practice to something “slower” and more draining.

For me, I needed something clearer, that was adaptive and flexible without becoming chaotic and confused.

Once I realised that I didn’t have to “choose” between those options, my practice not only got better… it got a whole lot more fun too

I’ll be sharing more in the next couple of weeks on this - but for now, if you’re feeling stuck in that binary choice of “fast but incomplete” or “detailed but slow”, rest assured - those 𝐚𝐫𝐞𝐧’𝐭 the only paths.

Chat to you Thursday.

09/04/2026

𝐖𝐡𝐚𝐭 𝐈 𝐠𝐨𝐭 𝐰𝐫𝐨𝐧𝐠 𝐚𝐛𝐨𝐮𝐭 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐟𝐨𝐫 𝐘𝐄𝐀𝐑𝐒…

It feels a bit uncomfortable to admit this, but until a few years ago, I wasn’t actually as patient-centred as I thought I was.

I’d started out in practice as a fairly traditional chiro, in a pretty transactional mindset, until I discovered a new and exciting way to practise - a genuine form of patient-centred care, not the transactional “patient-centred lite” version most of us were taught.

That discovery changed a lot for me: the way I communicated with patients and even how I thought about communication.

It was a massive shift in perspective.

Plus, it not only got me better results, but made me fall in love with chiropractic all over again.

The doubts, insecurities, and mental load I’d been subconsciously carrying around for years just melted away.

I started listening better, getting more curious, and practising in a way that felt both more The difference was so big that I knew I had to share it.

That’s where Patient Centred Training came from.

And over the years I’ve had the privilege of teaching those communication skills to others, and seeing the same kind of shift happen for them too.

For a while, I thought I’d solved it…

… but in hindsight, I realised I hadn’t gone far enough.

Because although those communication skills made me more patient-centred in one part of practice, I gradually realised that wasn’t true of all of it.

In particular, my assessment and examination.

And much as it pains me to admit it, that was something I hadn’t really questioned deeply enough.

I’d be having a genuinely open, individual, patient-centred conversation with someone...
..and then I’d put them through an assessment process that looked suspiciously similar to the last 10 patients.

Same exam flow, same line of thinking, same underlying assumptions about what mattered most…

… so whilst I’d changed the conversation, a lot of the clinical reasoning that followed was still being shaped by my models, habits, and preferences.

Rather doctor-centred, if I’m honest.

That’s not to take away from the rest - I was doing a significantly better job than I had been a few years before - and so were the colleagues I’d trained and mentored.

But over time I came to realise that those skills were necessary, but not sufficient.

After all, if the way I examined, interpreted, and prioritised different problems was still being organised by my mental model, then I couldn’t really claim to be truly patient centred.

That realisation, when it finally sunk in, hit me hard.

And I realised it’s one that almost all of us are stuck in - whether we realise it or not.

Because if you get your communication skills down, it’s easy to assume the deeper issues are solved - when in reality, you’ve just kicked the can down the road somewhat.

Sure, the relationship feels a lot better, patients are more enthusiastic and empowered about care, and you feel more aligned with your own values…

… but if the underlying logic guiding treatment is running on these older, inherited models, things can start to feel a bit routine again.

It’s just more subtle this time.

It turns out that being patient centred has more to do with the words you use, or how well you listen and understand - it has to shape how you think clinically as well.

And the truth is, I didn’t figure that out by myself.

I was fortunate enough to stumble across something that solved that problem for me too.

That said, it’s not for everyone.

But if you read these emails and keep finding yourself nodding along, or recognise yourself in any of the topics I’ve discussed in these last couple of weeks, there’s a good chance you’ll understand exactly why this matters.

I’ve been wanting to share this properly for a couple of years now, but I didn’t want to rush it before it was ready.

In a couple of weeks, I’ll be sending you a new free training.

And it’s unlike anything I’ve shared before - not because it’s flashy or “new” in the usual “mutton dressed as lamb” marketing sense ;)

But because I genuinely think it has the potential to change how a lot of quality, thoughtful practitioners experience practice altogether.

More on that soon…

07/04/2026

𝐖𝐡𝐲 𝐛𝐞𝐢𝐧𝐠 𝐞𝐜𝐥𝐞𝐜𝐭𝐢𝐜 𝐬𝐭𝐢𝐥𝐥 𝐝𝐨𝐞𝐬𝐧’𝐭 𝐬𝐨𝐥𝐯𝐞 𝐢𝐭

“𝘐𝘴 𝘵𝘩𝘪𝘴 𝘪𝘵?” 𝘛𝘳𝘢𝘱 𝘗𝘵.3

Thursday’s email went into the first trap most of us fall into when we feel we’re not getting the results we want to:

Getting more “tools for your toolbox”.

So you go to another seminar, find another guru, learn another system… and hope this will be the one to make things “click”.

But after a while, and having been on the “technique rollercoaster” a few times, many folks realise they’re just rereading history.

The result that all too often, they escape the “toolbox trap” only to fall into another, more subtle one:

The “eclectic trap”.

Initially, it seems like a smart move - and the only way off the rollercoaster.

Instead of choosing a technique system to go all in on, you decide to pick and choose parts from various systems.

“𝘐’𝘭𝘭 𝘥𝘰 𝘢 𝘭𝘪𝘵𝘵𝘭𝘦 𝘣𝘪𝘵 𝘰𝘧 𝘚𝘖𝘛 𝘣𝘭𝘰𝘤𝘬𝘪𝘯𝘨…

“… 𝘢𝘥𝘥 𝘪𝘯 𝘢 𝘭𝘪𝘵𝘵𝘭𝘦 𝘮𝘶𝘴𝘤𝘭𝘦 𝘵𝘦𝘴𝘵𝘪𝘯𝘨…

“… 𝘴𝘱𝘳𝘪𝘯𝘬𝘭𝘦 𝘪𝘯 𝘴𝘰𝘮𝘦 𝘯𝘦𝘦𝘥𝘭𝘪𝘯𝘨 / 𝘈𝘙𝘛 / 𝘎𝘰𝘯𝘴𝘵𝘦𝘥 𝘢𝘥𝘫𝘶𝘴𝘵𝘪𝘯𝘨…”

Make your own personal pick’n’mix grab bag of different methods.

In fairness, this is a step forward - definitely better than trying to push all patients through one rigid system.

And by this point you’ve probably realised something important - no single technique system has all the answers.

(This is one of my biggest gripes with systems - they might pay lip service to the idea that “this isn’t perfect for everyone”, but then they teach it as if it’s infallible)

It’s a necessary part of clinical maturation.

However, whilst eclecticism is a step forward from the toolbox trap, it still doesn’t help you make informed clinical decisions - you still don’t know how to choose which approach for the patient in front of you.

You might have more options, but that doesn’t help you make better decisions.

The best you can do is this - make up your own unofficial system.

Except, if you’re honest with yourself, it isn’t so much a system as a collection of preferences…

… based around the things you’re already good at…

… that happened to work in the past…

… and don’t conflict with what you’ve been telling patients all this time.

(I feel that last one personally - it held me back for a long time!)

So whilst it allows you to feel more open-minded and less dogmatic, you’re still following an approach that has more to do with your own preferences than any clear logic.

And the problems don’t end there either, because each technique comes with its own assumptions about how the body works - its own built-in map, explanations for why symptoms occur, and ideas of what the “real” cause of their issues is.

For SOT that’s cranio-pelvic balance and CSF flow.

For ART it’s adhesions in the tissues.

For DNS it’s faulty movement patterns from childhood.

When you start mixing these belief systems together, you aren’t really escaping that issue.

And sometimes you end up working with several conflicting maps at once.

And just like many of us do with our “toolboxes”, you probably start doing one of two things:

Either you fit the patient into whichever model appeals to you the most (like picking your favourite tool)...

… or bounce between different models haphazardly.

It’s a level up from the toolbox trap, but still doesn’t feel all that great.

Because deep down, you still know you’re guessing - and don’t fully trust your own reasoning.

You’re still facing the problem of “how do I know where to start?”

So yes, being eclectic is better than being dogmatic, but don’t mistake flexibility for clarity.

Without a reliable framework for how to make these decisions - and to decide what to prioritise for each individual patient - many experienced practitioners still end up unsure of how best to help their patients.

I think this is where a lot of decent DC’s end up - outgrowing the idea of systems, but unsure of how to best navigate beyond them.

Again, if this feels familiar, I’m talking from personal experience here as well.

Part of the issue is that even when you move beyond one technique system, it can leave a kind of “mental residue”

You may have abandoned its one-size-fits-all ideas consciously… but parts of those models are often still shaping your perspective.

And not just what you notice in patients, but what you choose to ignore, and what you think a patient “really” needs.

That’s what I want to unpack next week.

Patient Centred Training

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