This video demonstrates a challenging clinical situation where the (simulated) patient demonstrates severe abdominal pain that has multiple causes including post-infection IBS, centrally mediated abdominal pain, narcotic bowel, and opioid-induced constipation. She feels that opioids are the only solution but they actually are contributing to the problem. She has had difficult experiences with her previous physicians who do not provide patient-centered care and probably don’t understand the mechanisms for her pain and thus can’t affect treatment. How can the physician provide proper education and engage with the patient in a way that could increase her satisfaction and effect improvement? See the next video.