There are several dilemma's for the doctor in stopping or deminuishing medication and in diagnosing and exploring the origin of a diseaese. There can be doubt about having enough actual information about the patient, possessing knowledge about tapering and its consequences. The doctor can be vulnerable about her capacities in communication and shared decision making, in dealing with resistance or agression from the patient and with her own disappointment and feeling of failure. Also organizational barriers (such as a lack of time or continuity in care) can be involved. Team collaboration with discussion about aims and behaviour, and reflection on personal strategies and limits are necessary to guarantee quality of care.