Family physicians often encounter patients with the need to change e.g., to exercise, or to stop smoking, have problems of living, or are affected emotionally by illness and disease. There is a place for psychological therapy in these instances of dis-equilibrium. Psychological therapy methods can be divided into 4 groups: patient centering methods; process work; pattern (narrative) work; and problem work. One integrative approach is that described by Mahoney and gravold. The diagnostic interview in psychological method consists of eliciting reason for encounter; ideas, concerns, and expectations; case formulation; and assessment using therapeutic questions.