Anna is a mixed bag these days. Her confidence is up and so is her desire to get things moving again in her life. She has developed three "plans" for herself-schematics for following her dream. This process has allowed her to regain a fundamental trust in herself, a necessary step toward her complete new selfhood. Small things add up to make a big internal deal then serve to spark small embers of self-love. This stuff if fundamental to restitution. Anna's weight, however, is not what I wanted it to be at this point and she is somewhat resentful if I suggest a sack or meal. She is snappy at my suggestions and an arrogant edge to her is coming through. She is becoming too comfortable here and I fear, as familiarity sometimes breeds contempt, that her stay here is nearing an end. It is, after all, just a short time now till she embarks upon the journey she has always thought might be her eventual destiny. Watching her throughout this process, watching how she has become almost protective of her accomplishing her dream, has enabled me to gain valuable insight into Anna's PTSD. She has read PREHAB a few times now and I notice she keeps the book nearby her at all times. I reminded her family, kindly I hope, that Anna is in a precarious position and that wording to her should remain positive and forward moving only. If Anna can withstand the vigor's of the next two weeks (getting her passport sorted out, arranging for MD appointments, various vaccinations she may need), I believe she will be on the way to fulfilling a lifelong dream, a dream she had laid waste to as unachievable and had covered up in self-denigration and drug use.
In regard to Anna's prognosis, I am cautiously optimistic. If she employs the 4 P's and she remains focused upon her intention, she will experience success with this desire she has to serve herself by serving others. She is certainly putting herself to the test, but this test will allow her to examine her dreams and to see whether or not those dreams are what she truly wants or whether those "ideas of dreams" are leftovers from a past she can no longer reclaim. If the latter is true, then she will see that "tiny pebbles do not give us weight" and she will return to me to seek her renewal and a new dream vision. If what she is about to embark upon is truly her heart's desire and indefatigable dream, then she will be accomplishing it and will remain happy and healthy the rest of her life. Either way, I believe the time draws very near for her to stop envisioning this quest and to start placing one foot in front of the other until this particular dream of hers is examined and either accomplished or abandoned.

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PREHAB: The Essentials for Successful Change
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