Behavioral neuroscientists talk about the moment, the exact second we make a decision and act upon it. They describe in almost obsessive detail all the neuronal pathways and neuronal firings that occur in our brain. They talk about influences of past and present, knowledge acquired and remembered, skills honed and sculpted, abilities, beliefs, social backgrounds, immediate stressors, mood, medications, current/immediate/past circumstances, possible future implications, and so much more. If you stop to think about it, what goes into that second of acting upon a decision, whether by words or actions, is really a reflection of present, past and future in all of us. Such a truly amazing phenomenon.
Now, take a minute to ask the patient if he or she cares about it?