So, I enter therapy because I want to change. I want to figure out my faults and weaknesses and eliminate them.

But what if, just as a 5'2" person cannot become a 6' person, that's just who I am? What if my core personality, my core identity, my core essence is those faults and weaknesses?

Maybe I can learn techniques and skills to overcome my disabilities - just like a 5'2" person could conceivably wear stilts. But there is no denying the fact that the 5'2" person is still a 5'2" person.

So, is just managing the deficits all that can be expected or can real true permanent change be a hope?