I think the work depends on what we need to change. For me, it's a combination of being open in the therapy relationship. That is something which helps me to develop a new concept of myself, based on what my therapist is able to reflect back to me. It helps me to develop a new understanding of the ways that I struggle and perhaps a glimpse of how change might be possible. Then there are the practical steps in my every day life. I have to use the things I learn inside the therapy room to push myself into new situations, or new ways of doing things in real life. Whether I succeed or fail, I can go back and discuss it all with my therapist, so I can continue to find a way forwards. I think sometimes from the inside I've felt blind to any way forwards or the sort of work it requires. It was only after a few years that I could really look back and can see what I've needed to do and what I will have to continue doing if I want to keep moving forwards in my life.