L

Listen with empathy and understanding to the client’s perception of the problem. Try questions like: What do you think may be causing your problem? How do you think the illness is affecting you? What do you think might be beneficial?

E

Explain your thoughts and perceptions about the problem.

A 

Acknowledge, discuss, and incorporate the differences and similarities between your client’s beliefs and your own professional understanding of treatment options. 

R

Recommend treatment. Suggest a treatment plan that is developed with the client’s involvement, including culturally appropriate aspects.

N

Negotiate agreement. The final treatment plan should be determined as mutually agreeable by both the care provider and client.