Incorporating patients’ narratives is imperative for best outcomes. Narratives can lead to deeper and more meaningful initial consultations and discovering nuances in patient cases that can make a significant difference. Patient narratives can influence what additional information is requested prior to evaluation; provide clues for initial intake approach and questions; and affect diagnosis and treatment planning, considering patient history and context. Patients are more likely to disclose important information and be more open and compliant, leading to better results, when their narratives have been considered in planning and treatment.