The neurology isn't going to change in a hurry, but there is a psychological component and a social component, and if you can understand and resolve those issues, then the neurological component may not be triggered as much. It's like the neurology for speech is a sieve. Speaking alone is like sifting flour - it goes through easily. Adding social, emotional and psychological elements is like trying to sift gravel - it doesn't fit unless you can make the pieces smaller. Do I win a prize for worst analogy ever?