That's a good question. I'm feeling gloomy so my first reaction is "nothing." But I think I have progressed in some ways, even though the growth has been painfully slow and "two steps forward one step back." It has helped me to have some insight into why I do what I do and to identify what I'm doing that is harmful. But I get stuck on the action steps. It doesn't work if she tells me what to do, I have to work with her to develop a tiny goal. We both get frustrated that I tend to return to my maladaptive ways.
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