<prompt> Translate the following text to EnglishTatizo hutokea wakati mambo ambayo mgonjwa anataka kufanya kazi si yale ambayo mtoa huduma anafikiri ni muhimu zaidi au yuko tayari kushughulikia.  <response>: 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. 