While most mental health professionals believe they are engaging in shared decision making, they may be unaware of aspects of the power differential that can impact patients. This session will familiarize attendees with the concept and practice of shared decision making (SDM). Dr. Velligan will review pre-existing preferences and cognitive appraisal biases that complicate decision-making for patients and caregivers. New models of SDM that take into account both doctor and patient behaviors necessary for success will also be presented.