A problem arises when the factors the patient wants to work on are not the same ones the provider thinks are most important or is most prepared to deal with.
Doctors have to force a patient to have treatments he recommends. 
mnli hypothesis: Doctors have to force a patient to have treatments he recommends.  premise: A problem arises when the factors the patient wants to work on are not the same ones the provider thinks are most important or is most prepared to deal with.