How to Have a Difficult Conversation
- Kim Newton-Woof
- May 30
- 1 min read
Updated: Sep 20
I’ve been thinking recently about how readily we avoid having potentially 'tough' conversations and I came across a What’s Up Docs? episode on BBC Sounds that feels especially relevant.
Chartered Psychologist Kimberley Wilson joins Drs Chris and Xand van Tulleken to explain not only why difficult conversations are so hard, but also how to prepare for them. A key resource is her 10-step plan for approaching these talks more constructively, summarised below:
Consider the cost of not having the conversation
Think about the benefits
Decide if it’s worth doing
Get support from someone you trust
Initiate the conversation in a thoughtful way
Prepare - make notes, think through responses
Meet face to face in a neutral space if possible
Allow the other person time to think and respond
Recover and regulate afterwards
Come back to the conversation later if needed
Kimberley’s wider work (including her book How to Build a Healthy Brain) shows how mental resilience, emotional regulation and self-care feed into how well we can have these conversations.
If there’s a conversation you’ve been putting off, this may prove a very useful resource. It gives you permission to prepare, prompts you to decide whether it’s worth pushing through and shows what tools you might use to make it go better.
For a listen to the podcast episode (and include the follow-up "Doctor's Notes" too) visit https://www.bbc.co.uk/programmes/m002c3gb



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