Gottman Method Therapists in Taos, NM

Photo of Taylor Field, Clinical Social Work/Therapist in Taos, NM
Taylor Field
Clinical Social Work/Therapist, MA, MFT
Verified Verified
1 Endorsed
Taos, NM 87571  (Online Only)
My goal in psychotherapy is to establish a genuine relationship with my clients in order to foster emotional growth and change. We participate in an empathetic collaboration to address emotional and/or behavioral struggles with sensitivity to strengths and limitations. As my clients gain insights into their lives, I encourage them to consider taking actions to affect change. They thereby gain self confidence and a sense of well-being that empower them to reach their goals. In our exchanges we discuss the emotional, cultural, and social conditions that they face, in order to promote greater self-awareness.
My goal in psychotherapy is to establish a genuine relationship with my clients in order to foster emotional growth and change. We participate in an empathetic collaboration to address emotional and/or behavioral struggles with sensitivity to strengths and limitations. As my clients gain insights into their lives, I encourage them to consider taking actions to affect change. They thereby gain self confidence and a sense of well-being that empower them to reach their goals. In our exchanges we discuss the emotional, cultural, and social conditions that they face, in order to promote greater self-awareness.
(575) 237-4867 View (575) 237-4867
Photo of Dorothy Anne Forbes-Sack, Clinical Social Work/Therapist in Taos, NM
Dorothy Anne Forbes-Sack
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Taos, NM 87571
Waitlist for new clients
Joy is our birthright and whether you feel like your life needs a few tweaks to feel fulfilling again, or life is feeling deeply distressing, psychotherapy can help. Having someone you trust bear witness to your process of integrating life's challenges and triumphs, and partner with you so you can return to your natural state of joy, is what I believe psychotherapy is all about.
Joy is our birthright and whether you feel like your life needs a few tweaks to feel fulfilling again, or life is feeling deeply distressing, psychotherapy can help. Having someone you trust bear witness to your process of integrating life's challenges and triumphs, and partner with you so you can return to your natural state of joy, is what I believe psychotherapy is all about.
(575) 618-4907 View (575) 618-4907
Photo of Landry Therapy Group, Psychologist in Taos, NM
Landry Therapy Group
Psychologist, LPC
Verified Verified
Taos, NM 87571  (Online Only)
Taking New Patients! We have over 25 years experience working with children and families performing comprehensive psychological valuations. Results of these evaluations can assist mental health professionals, medical personnel, educators, and members of treatment teams to help a client progress & have a better quality of life. : Our therapy goal is to form a bond of trust and commitment with our clients. With the proper support and guidance, we believe people have an inherent ability to persevere through any struggle with which they are confronted.
Taking New Patients! We have over 25 years experience working with children and families performing comprehensive psychological valuations. Results of these evaluations can assist mental health professionals, medical personnel, educators, and members of treatment teams to help a client progress & have a better quality of life. : Our therapy goal is to form a bond of trust and commitment with our clients. With the proper support and guidance, we believe people have an inherent ability to persevere through any struggle with which they are confronted.
(469) 933-0570 View (469) 933-0570
Photo of Trail Ahead Therapy, Clinical Social Work/Therapist in Taos, NM
Trail Ahead Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Taos, NM 87571
If you are looking for a therapist who is trauma-informed, inclusive, and empathetic then we are here for you. We believe in creating a safe place where clients can express their vulnerabilities and share their stories in a space that is free of judgment. We want to understand and help, not “fix” you. Our therapists know that the ultimate goal of therapy is to feel at peace within ourselves and that this journey is unique for each person. We strive to help you find these answers for yourself, so that you can know true self-acceptance and happiness.
If you are looking for a therapist who is trauma-informed, inclusive, and empathetic then we are here for you. We believe in creating a safe place where clients can express their vulnerabilities and share their stories in a space that is free of judgment. We want to understand and help, not “fix” you. Our therapists know that the ultimate goal of therapy is to feel at peace within ourselves and that this journey is unique for each person. We strive to help you find these answers for yourself, so that you can know true self-acceptance and happiness.
(505) 390-8967 View (505) 390-8967
Photo of Holly Davis Borrero, Counselor in Taos, NM
Holly Davis Borrero
Counselor, MS, LPCC, LMFT, LMHC
Verified Verified
6 Endorsed
Taos, NM 87571  (Online Only)
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for New Mexicans and Washingtonians. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for New Mexicans and Washingtonians. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
(206) 944-6548 View (206) 944-6548

Online Therapists

Photo of Desert Sky Therapy Services, LLC-Paige Pierson, Licensed Professional Counselor in Taos, NM
Desert Sky Therapy Services, LLC-Paige Pierson
Licensed Professional Counselor, MS, LPC, LPCC
Verified Verified
1 Endorsed
Los Alamos, NM 87544
Waitlist for new clients
I specialize in Acceptance and Commitment Therapy and I'm currently seeking Gottman method couples therapy certification.
Hello! Thank you for reaching out and taking the first step. It’s my goal to assist my clients while they're working toward a healthier, happier life. I work with my clients to find a mindful approach through the acceptance of patterns of thoughts and beliefs. I feel it's important to provide support while trying to answer life's big questions. A person's thoughts, beliefs, and attitudes can directly affect their feelings and behaviors whether that be a result of learned responses or a trauma response. I'm happy you've decided to reach out! Please visit my waitlist to add your info; www.desertskytherapy.com
I specialize in Acceptance and Commitment Therapy and I'm currently seeking Gottman method couples therapy certification.
Hello! Thank you for reaching out and taking the first step. It’s my goal to assist my clients while they're working toward a healthier, happier life. I work with my clients to find a mindful approach through the acceptance of patterns of thoughts and beliefs. I feel it's important to provide support while trying to answer life's big questions. A person's thoughts, beliefs, and attitudes can directly affect their feelings and behaviors whether that be a result of learned responses or a trauma response. I'm happy you've decided to reach out! Please visit my waitlist to add your info; www.desertskytherapy.com
(505) 309-3266 View (505) 309-3266
Photo of Joshua Greep, Clinical Social Work/Therapist in Taos, NM
Joshua Greep
Clinical Social Work/Therapist, LCSW, CGT
Verified Verified
2 Endorsed
Santa Fe, NM 87505  (Online Only)
I use the Gottman Method to help you gain renewed perspective and ability.
​Desperately wrestling the couch cushions into a configuration that won’t kill your back, you finally break down into helpless tears. Your marriage is in tatters and you’re hanging on by a thread. Between your children and your careers, you’ve had nothing left for each other. It feels like you’ve forgotten how to enjoy one another’s company. You feel like a stranger in your own home. It’s either constant bickering or frigid silence. Getting older, you realize you don’t have the energy for either – and this couch brutalizing your spine. You’d do anything to get your best friend back. You need help before this distance grows too great
I use the Gottman Method to help you gain renewed perspective and ability.
​Desperately wrestling the couch cushions into a configuration that won’t kill your back, you finally break down into helpless tears. Your marriage is in tatters and you’re hanging on by a thread. Between your children and your careers, you’ve had nothing left for each other. It feels like you’ve forgotten how to enjoy one another’s company. You feel like a stranger in your own home. It’s either constant bickering or frigid silence. Getting older, you realize you don’t have the energy for either – and this couch brutalizing your spine. You’d do anything to get your best friend back. You need help before this distance grows too great
(385) 354-7853 View (385) 354-7853
Photo of Lee Swanson, Marriage & Family Therapist in Taos, NM
Lee Swanson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Santa Fe, NM 87505  (Online Only)
I specialize in working with adult individuals, couples, and families seeking to address a wide range of psychological, behavioral, and interpersonal issues. I bring a systemic focus to my work with people, using various therapeutic approaches, including Cognitive-Behavioral Therapy (CBT), Gottman Method Couples Therapy, Motivational Interviewing, Dialectical Behavioral Therapy (DBT), Narrative Therapy, Humanistic Therapy, and Mindfulness Based Awareness.
I specialize in working with adult individuals, couples, and families seeking to address a wide range of psychological, behavioral, and interpersonal issues. I bring a systemic focus to my work with people, using various therapeutic approaches, including Cognitive-Behavioral Therapy (CBT), Gottman Method Couples Therapy, Motivational Interviewing, Dialectical Behavioral Therapy (DBT), Narrative Therapy, Humanistic Therapy, and Mindfulness Based Awareness.
(505) 796-6507 View (505) 796-6507
Photo of Maryah Vigil, MA, LPCC, Counselor in Taos, NM
Maryah Vigil, MA, LPCC
Counselor, MA, LPCC
Verified Verified
Rio Rancho, NM 87144  (Online Only)
These modalities may include Existential therapy, Cognitive Behavioral Therapy, Solution Focused Therapy, Client-Centered Therapy, Narrative Therapy, Gottman Method, and Psychotherapy.
Are you feeling disappointed or unfulfilled in life? You have the power to change this. Through self-introspection you will begin to understand how your life choices are impacting your wellbeing and happiness. I will encourage you to take responsibility for your choices, empower you to make choices that align with your true authentic self, and in turn create a life that is worth living. I have experience helping people work through the challenges of life, including self-esteem, relationship issues, women's issues, conflict resolutions, life transitions, and anger management.
These modalities may include Existential therapy, Cognitive Behavioral Therapy, Solution Focused Therapy, Client-Centered Therapy, Narrative Therapy, Gottman Method, and Psychotherapy.
Are you feeling disappointed or unfulfilled in life? You have the power to change this. Through self-introspection you will begin to understand how your life choices are impacting your wellbeing and happiness. I will encourage you to take responsibility for your choices, empower you to make choices that align with your true authentic self, and in turn create a life that is worth living. I have experience helping people work through the challenges of life, including self-esteem, relationship issues, women's issues, conflict resolutions, life transitions, and anger management.
(505) 560-2779 View (505) 560-2779
Photo of Jacquelin Hahn, Clinical Social Work/Therapist in Taos, NM
Jacquelin Hahn
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87505  (Online Only)
I commonly utilize a variety of evidence-based practices embedded in CBT, IFS, Gottman Method, Mindfulness-Based Stress Reduction, Psychoanalytic, Psychodynamic, Circle of Security, Strengths Based, and Motivational Interviewing.
I am passionate about helping others make peace with their suffering and overall live a more grounded life. I work with individuals (adolescents to adults), couples and families. I love helping others find new meaning after trauma and grief, manage depression and anxiety, as well as help others build healthy self-esteem. I specialize in teaching tools to help others better communicate and repair relationships, heal attachment wounds, gain skills to set healthy boundaries, time manage, build a secure attachment, self-motivate, and adjust to life changes, including medical diagnosis, breakups/divorce, loss, and career changes.
I commonly utilize a variety of evidence-based practices embedded in CBT, IFS, Gottman Method, Mindfulness-Based Stress Reduction, Psychoanalytic, Psychodynamic, Circle of Security, Strengths Based, and Motivational Interviewing.
I am passionate about helping others make peace with their suffering and overall live a more grounded life. I work with individuals (adolescents to adults), couples and families. I love helping others find new meaning after trauma and grief, manage depression and anxiety, as well as help others build healthy self-esteem. I specialize in teaching tools to help others better communicate and repair relationships, heal attachment wounds, gain skills to set healthy boundaries, time manage, build a secure attachment, self-motivate, and adjust to life changes, including medical diagnosis, breakups/divorce, loss, and career changes.
(385) 334-3466 View (385) 334-3466
Photo of Nature's Palette Therapeutics, Counselor in Taos, NM
Nature's Palette Therapeutics
Counselor, MA, LPCC
Verified Verified
Los Ojos, NM 87551
I have a waitlist at this time. My goal as your therapist is to help you become confident in who you are and the gifts you offer. My focus is to get to know who you are so together we can create a plan for you to achieve your goals. You are the expert on your life, which I know can get cloudy and muddled, and I will support you in sorting through your past and present experiences that are not serving you to help you move towards wellness in all areas of your life. You can achieve mental, emotional, physical and spiritual wellbeing!
I have a waitlist at this time. My goal as your therapist is to help you become confident in who you are and the gifts you offer. My focus is to get to know who you are so together we can create a plan for you to achieve your goals. You are the expert on your life, which I know can get cloudy and muddled, and I will support you in sorting through your past and present experiences that are not serving you to help you move towards wellness in all areas of your life. You can achieve mental, emotional, physical and spiritual wellbeing!
(575) 552-7438 View (575) 552-7438
Photo of Sarah Rocha, Licensed Professional Counselor in Taos, NM
Sarah Rocha
Licensed Professional Counselor, MA, LPC, SEP
Verified Verified
2 Endorsed
Santa Fe, NM 87501
Waitlist for new clients
I apply a holistic approach as a pathway to increase your optimal wellbeing. This holistic approach, combined with your personal goals, creates an experience that is personal and unique to you. As your therapist, I will design a session tailored to your needs. I use Somatic Experiencing along with other forms of wellness specialties in working with those who are struggling with work/life balance, PTSD, anxiety, stress, marginalization, systems of oppression, ancestral trauma/intergenerational trauma, self-esteem, and life transitions.
I apply a holistic approach as a pathway to increase your optimal wellbeing. This holistic approach, combined with your personal goals, creates an experience that is personal and unique to you. As your therapist, I will design a session tailored to your needs. I use Somatic Experiencing along with other forms of wellness specialties in working with those who are struggling with work/life balance, PTSD, anxiety, stress, marginalization, systems of oppression, ancestral trauma/intergenerational trauma, self-esteem, and life transitions.
(480) 780-1983 View (480) 780-1983
Photo of Megan V. Phillips, Counselor in Taos, NM
Megan V. Phillips
Counselor, MA, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
In psychotherapy, I aim to offer an authentic space for self-exploration and healing. My therapy practice is grounded in mindfulness and cognitive behavioral approaches. My clients include individuals and couples experiencing stressful life transitions. I practice culturally responsive and trauma sensitive therapy and provide a safe, non-judgemental place to process uncomfortable emotions and mental stress. I see my role as a guide to help you and navigate authentic healing.
(505) 657-3723 View (505) 657-3723
Photo of Ann Laser, Counselor in Taos, NM
Ann Laser
Counselor, MSE, LPCC
Verified Verified
Santa Fe, NM 87505
I enjoy people! Helping people who are struggling with life issues such as depression, anxiety, loss, trauma, and grief is meaningful to me. After more than 25 years as a psychotherapist, I have learned to let the client(s)lead me. I believe that at the deepest level people 'know' what they need in order to achieve the healing and fullness of life they desire and deserve. My job is to help create a safe, supportive, encouraging environment in which the wholeness and change clients seek can occur.
I enjoy people! Helping people who are struggling with life issues such as depression, anxiety, loss, trauma, and grief is meaningful to me. After more than 25 years as a psychotherapist, I have learned to let the client(s)lead me. I believe that at the deepest level people 'know' what they need in order to achieve the healing and fullness of life they desire and deserve. My job is to help create a safe, supportive, encouraging environment in which the wholeness and change clients seek can occur.
(505) 750-4969 View (505) 750-4969
Photo of Adonata Pyaga, Counselor in Taos, NM
Adonata Pyaga
Counselor, MS, LPCC, CCHT, CPT
Verified Verified
Santa Fe, NM 87501  (Online Only)
My gift is to set the stage so you experience your deepest well being, free from all emotional upset. Since studying and practicing trauma resolution methods, and understanding the latest brain research, I have developed a unique psychotherapeutic modality,, The Connection Method™. It permanently resolves traumatic experiences and mood disorders. It is a system that goes beyond managing stress, depression, anxiety, impulsivity, psychosomatic illnesses etc. Instead, it transforms them at their core so you can live your full potential. I enjoy working with individuals of the most varied backgrounds, as I myself am from 4 countries.
My gift is to set the stage so you experience your deepest well being, free from all emotional upset. Since studying and practicing trauma resolution methods, and understanding the latest brain research, I have developed a unique psychotherapeutic modality,, The Connection Method™. It permanently resolves traumatic experiences and mood disorders. It is a system that goes beyond managing stress, depression, anxiety, impulsivity, psychosomatic illnesses etc. Instead, it transforms them at their core so you can live your full potential. I enjoy working with individuals of the most varied backgrounds, as I myself am from 4 countries.
(505) 393-7104 View (505) 393-7104
Photo of A New You, LLC, Counselor in Taos, NM
A New You, LLC
Counselor, MA, LPCC, CRS
Verified Verified
4 Endorsed
Rio Rancho, NM 87124
Waitlist for new clients
Hello, I am the creator of the rapid "ROOMMATES TO ROMANCE PROGRAM" which has helped many couples improve their communication skills and their overall connection. If you are considering COUPLES COUNSELING, chances are that your most important relationship is struggling. Maybe you suffer from "roommate syndrome", or over scheduling. Or maybe you no longer have fun together or you struggle with communicating your needs. It is not easy to ask for help for your relationship. But, don't be discouraged, very few people are educated or trained in the complexities of having successful relationships. In this way, you can consider couples counseling as your "Relationship 101" course.
Hello, I am the creator of the rapid "ROOMMATES TO ROMANCE PROGRAM" which has helped many couples improve their communication skills and their overall connection. If you are considering COUPLES COUNSELING, chances are that your most important relationship is struggling. Maybe you suffer from "roommate syndrome", or over scheduling. Or maybe you no longer have fun together or you struggle with communicating your needs. It is not easy to ask for help for your relationship. But, don't be discouraged, very few people are educated or trained in the complexities of having successful relationships. In this way, you can consider couples counseling as your "Relationship 101" course.
(505) 412-6087 View (505) 412-6087
Photo of Serna Solutions LLC, Clinical Social Work/Therapist in Taos, NM
Serna Solutions LLC
Clinical Social Work/Therapist, MA, LPCC, LADAC
Verified Verified
2 Endorsed
Santa Fe, NM 87507
Welcome! At Serna Solutions we look forward to helping you achieve your best self. We have specially trained counselors and social workers who can help individuals, couples and families deal with a wide range of issues. We are also one of the few organizations in the world who specialize in Community Reinforcement Approach and Family Training (CRAFT). CRAFT is the ONLY evidence-based practice approved as an intervention for assisting those who have a loved one struggling with an addiction. We can do CRAFT coaching in person or online for those who live outside of the New Mexico area. W
Welcome! At Serna Solutions we look forward to helping you achieve your best self. We have specially trained counselors and social workers who can help individuals, couples and families deal with a wide range of issues. We are also one of the few organizations in the world who specialize in Community Reinforcement Approach and Family Training (CRAFT). CRAFT is the ONLY evidence-based practice approved as an intervention for assisting those who have a loved one struggling with an addiction. We can do CRAFT coaching in person or online for those who live outside of the New Mexico area. W
(505) 333-0436 View (505) 333-0436
Photo of Marcy Reda, Clinical Social Work/Therapist in Taos, NM
Marcy Reda
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Santa Fe, NM 87505
I help individuals and couples better understand, trust, and communicate their emotions, needs, and longings. Our emotions, even the painful ones, provide us with important information about what we need and where we should be headed. At times we dismiss our own inner wisdom in an attempt to fit in, keep the peace, or protect ourselves from hurt, but we then miss out on creating the life and relationships we desire. I strongly believe that people heal and grow best in connection with others, and therapy provides the security and compassion necessary to make new discoveries about yourself that can lead to positive change.
I help individuals and couples better understand, trust, and communicate their emotions, needs, and longings. Our emotions, even the painful ones, provide us with important information about what we need and where we should be headed. At times we dismiss our own inner wisdom in an attempt to fit in, keep the peace, or protect ourselves from hurt, but we then miss out on creating the life and relationships we desire. I strongly believe that people heal and grow best in connection with others, and therapy provides the security and compassion necessary to make new discoveries about yourself that can lead to positive change.
(505) 302-3875 View (505) 302-3875
Photo of Santa Fe Center For Relationship Wellbeing, Clinical Social Work/Therapist in Taos, NM
Santa Fe Center For Relationship Wellbeing
Clinical Social Work/Therapist, LISW, MS, SpEd, IMHIII
Verified Verified
1 Endorsed
Santa Fe, NM 87505
I help couples regain love, find shared meaning and improve ability to listen and be heard. Additionally, the transition to parenthood, while longed for, can place huge strains on relationships. Being a parent brings up unresolved feelings of all kinds from one's own childhood that may interfere with being the parent you want to be. I help parents and children feel good about their families. My goal is to help parents find greater competence and confidence to recognize and respond to their children's fundamental needs.
I help couples regain love, find shared meaning and improve ability to listen and be heard. Additionally, the transition to parenthood, while longed for, can place huge strains on relationships. Being a parent brings up unresolved feelings of all kinds from one's own childhood that may interfere with being the parent you want to be. I help parents and children feel good about their families. My goal is to help parents find greater competence and confidence to recognize and respond to their children's fundamental needs.
(575) 218-7764 View (575) 218-7764
Photo of Carla Kleefeld, Clinical Mental Health Counselor in Taos, NM
Carla Kleefeld
Clinical Mental Health Counselor, PhD, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
The therapeutic relationship is a unique and healing one and has the potential to transform our earliest relational patterns and unconscious attempts at repair. I bring my presence, deep, active listening, attentiveness, curiosity and positive regard to individuals and couples seeking therapy. Applying my extensive knowledge, training, and practice in attachment based research and depth-oriented approaches, I enjoy working with the imaginal, dreams as well as our relationship in the here and now as it may reflect the past.
The therapeutic relationship is a unique and healing one and has the potential to transform our earliest relational patterns and unconscious attempts at repair. I bring my presence, deep, active listening, attentiveness, curiosity and positive regard to individuals and couples seeking therapy. Applying my extensive knowledge, training, and practice in attachment based research and depth-oriented approaches, I enjoy working with the imaginal, dreams as well as our relationship in the here and now as it may reflect the past.
(505) 384-7609 View (505) 384-7609

Nearby Searches for Taos

See More Therapists
Gottman Method Therapists

How does the Gottman method work?

One of the core doctrines of the Gottman method is that negative emotions hurt relationships about five times more than positive emotions help them. Thus, couples require five times more positive interactions than negative interactions with each other. The therapist will guide clients on how to improve communication and understanding of each other to manage conflict and have their emotional needs met. The therapist will also advise couples on how to repair relations with each other when conflict arises, and therefore avoid lasting damage.

Is the Gottman method evidence-based?

Yes, this method is an evidence-based approach to couples therapy. The method is based on more than 40 years of research by Drs. John and Julie Gottman, the psychologists who developed the method. The Gottmans analyzed decades of data to draw conclusions about what types of interactions are likely to lead to specific results, and which interventions are most likely to lead to success. Studies have found that this approach leads to improvements in relationship satisfaction, intimacy, communication skills, and a lower rate of divorce.

How long does the Gottman method take?

The duration of treatment depends on the specific challenges clients face. Sessions are typically 60 to 90 minutes long, and an average course of treatment is around 10 sessions. In some cases, such as for couples dealing with a critical problem, the therapist will suggest an intensive course of treatment, with daily sessions over the first two to four days. Treatment is complete when the couple is satisfied and has met the goals they’ve set, and when the therapist believes they have the skills to continue on their own.

Is the Gottman method effective?

Through the Gottman method, couples can achieve changes that are real and sustainable. This treatment has been used for more than 40 years; the method is supported by empirical research, including randomized controlled trials that have demonstrated effectiveness in improving relationship outcomes for couples. Like any talk therapy, success or failure depends in large part on how committed the clients are to making positive changes and working toward results.