A second issue might be termed “game-playing” with patients. Doctors all have experience with patients who are less than religious about conforming to the recovery plan. Absent constant nudging and cajoling by the doctor, patients can become lax about their home treatment responsibilities; they miss scheduled visits; they begin to question the efficacy of the treatment program; they resist payment; finally, they stop coming altogether. The impact is both fiscal and emotional; nurturing (nagging) patients to participate in their own recovery can be exhausting.