I can't profess to know of course. But I can tell you that I've seen it. I can tell you that I have experienced it. I can tell you that yes, many things are possible. How it happens that things can go from bad to better, from pain to pleasure, from old to renewed, I'm not sure exactly (though there are many good theories and practices that apply). But if I had to name my top five starting points for bringing about healing, relief and renewal, I'd say they are these, in no particular order and without the theory for now:
~Willingness to talk: about yourself, your wishes, your feelings, your thoughts. Even if you don't know exactly what they are or where they will lead. Even if you are scared, skeptical, annoyed or angry.
~Willingness to look at yourself, your history, your patterns, your reactions. Gently and at whatever pace seems to work best. This too can be discovered over time.
~Understanding that the above does not always come as fast or as easily as we might like but it's worth a continued effort to keep at it. And sometimes slower is better.
~Understanding that you don't have to know exactly what you want or need before you begin.
~Understanding that most of what we do, conscious or unconscious is usually how we survive, and in that context our defenses that no longer serve us well - or that do still - are not comments on our self worth but just our humanity.
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