I focused on the nature of "difficult" interactions between the veteran and clinicians rather than on his personal attributes. The veteran felt his previous psychiatrist was ignoring his physical complaints and had misdiagnosed him. He felt he had nothing to gain from the proposed treatment, thus giving him reason to resent the provider, treatment, and hospital. Using a compassionate, intuitive, and nonjudgmental approach, I was able to put the patient at ease, which in turn helped me identify the underlying issues he had with trust and security. With his consent, I involved his family, which helped change his negative attitude about proceeding with treatment.