Because your history, personality, and circumstances are yours alone, you need a tailored approach to therapy. That said, all clients arrive for their first appointment for more or less the same reasons. You're struggling, and it's painful, and change feels so necessary and yet so impossible. You've tried to fix things, but nothing has worked, or it's not worked for long. You're tired of feeling like this, don't like it when you react like this, don't want to feel at war with life, or work, or other people, or your own mind anymore. You're out of ideas and want help to find a better way.