Patients should be treated with kindness and respect from the very beginning of the consultative/therapeutic relationship.  A core value is to listen closely to patients, as well as provide empathy and a nurturing relationship. Establishing rapport and developing an alliance is paramount to ensure that both parties are sincerely motivated to work together to answer whatever question(s) requires analysis. Philosophically, Dr. Hutchinson respects patients and believes they should be provided with care and grace. Understanding the nature of the problem, its context, and other complexities are critical for an accurate conceptualization. This is best accomplished not only by carefully listening to what is spontaneously shared in interview but also through assessment. An evaluation typically includes structured diagnostic interview, psychosocial history, observing the patient both in interview and when tested, etc.  Dr. Hutchinson also  provides a custom life history questionnaire and psychological and/or neuropsychological testing.  If available, records can be reviewed.