I have recently been seeing a very interesting, talented and complex client. He presented with a deep and troubling depression which has recurred two or three times in recent years. Like many clients that I see, he was reluctant to take antidepressants, believing that he needed to gain an understanding of the underlying cause for his recurring dark moods in order to recover. Working with him has been challenging but also a pleasure as he has worked hard himself between sessions to achieve his goals. Just before our final session, he sent me the following testimonial: Just a note to say thank you for all of your help. You must have a lot of patience for your job and that is a commendation for you. I feel that by vocalising my thoughts I have learnt a lot about my difficulties, some of the reasons for them and now have a better understanding. I feel also that some of the questions that you have asked me have been very thought provoking and enabled me to kind of "put a jigsaw" of it all together much more. I now feel that my future progress is a questions of careful "process" and actions to achieve my goals of better self confidence and esteem; nothing is set in stone or can or will fly in through the bedroom window as if by some kind of magic. There is so much that I can do an I appreciate your help. Thank you.