We arrive at the final part of our focus this month on on Communication Skills for MSK Clinicians, in an episode entitled ‘Psychological Patterning Process (PPP)’. In this episode, host Matt Phillips is joined by special guest Serena Simons, a Chartered Psychologist, educator, and behaviour change specialist with our 25 years experience of  working in psychology, behaviour change, teaching, and human complexity, across Healthcare, Higher Education, Coaching and Forensic settings.

Serena discusses her recently released ‘Psychological Patterning Process (PPP)’ – a practical, formulation-based lens for understanding the patterns beneath a client’s behaviour. Serena explains how co-mapping and simple psychological profiling help clinicians decide when change is appropriate, which tools to use, and whether to refer — all within scope and with compassion.

The episode looks at real clinic examples, how PPP can support all types of MSK clinician, and the aims of the inaugural training starting September 2026. The conversation focuses on making consultations easier, reducing practitioner self-blame, and improving decision-making about motivation, treatment and referral.