Often the reasons given to me for arriving to therapy are about, anxiety, depression, sadness, self confidence, life changing illnesses, self identity, early childhood, past or present relationships, bereavements, traumatic experiences, and mental health diagnosis. How these issues and difficult feelings manifest in people's lives are unique and so they may be identified as problems or difficulties addictions; work, or daily activity; relationships; children and parenting; personal identity, questions of 'who I really am'; the 'state of the world', particularly climate and ecological anxieties.