Mike Stewart webinar Q&A

Communication in physiotherapy is presented as a difficult clinical skill rather than a “soft” one. The discussion centers on how clinicians can improve patient education by listening more, speaking less, and shifting away from paternalistic, tick-box consultations. Learners can expect practical guidance on building therapeutic alliance, using shared decision-making, and recognizing that patients often already hold the key ideas needed for change. A major focus is the role of metaphor in pain and health communication. Metaphors are described as a way patients express difficult experiences safely, offering clinicians insight into beliefs, emotions, and barriers. The summary also covers the benefits and risks of metaphors: they can help patients express themselves, feel understood, and gain control, but they can also confuse or frighten if imposed by the clinician. Other key themes include adapting communication for different cultures and conditions, using tools such as images, collages, music, and writing when words are limited, and developing reflective practice. The core message is that empowering patients requires clinicians to give up some control and create space for the patient’s own story.