In fact, I think some patients aren’t really ready to hear there is even HOPE ! After all they have been through, how could there be? and if there were any hope at all, wouldn’t that mean that they had needlessly suffered? And, if they had needlessly suffered, that could, of course, be ENRAGING and too much to bare. I had a friend who had been in chronic neck pain for many years resulting in an early retirement and disability; after explaining the paradigm to her, her first question was, “What would I do about my disability?”. Sometimes, patients have gone so far down the rabbit hole of pain and it has become the whole focus of their lives, it is hard to even imagine extricating yourself out of that.