How do I effectuate change? I believe change occurs from a sustained active approach with the therapist . Why is there a need for change? Many people report affective states of anxiety, depression, and stress that are inhibiting them in their work, personal lives, and enjoyment of life. My education and experience put me in a unique position to give people the understanding to find satisfaction from their personal,family and work life. Therapeutic interactions are in the here and now. Understanding often leads to an improved quality of life ; alleviating anxiety,depressive feelings as well as fears of being stuck.