• Formulate a Menu of Reasonable Choices.  
  • Educate the patient as to the benefits and adverse effects of each option.
  • Encourage the patient to select an intervention based on their preference. 

"These are the options I recommend based on your history and what I know about the treatments.

The Menu of Reasonable choices will be revised for each individual based on their measured outcomes and any new treatment information that may become available.  The process of applying this accumulated knowledge gradually optimizes the treatment plan.