It wasn’t a mindset shift. I had a planned operation and told my doctor about my stutter but the nurse didn’t understand it meant I would be unable to call for help with my voice, and she didn’t give me a call button. It was in so much distress, I cried, which was the only sound I could make, and got her attention. But the act of crying negatively impacted my physical. I was acutely desperate and hopeless and was willing to try anything. I’ve been on both sides of mental health for many decades (consumer and provider) and for some people, suggesting a mindset shift is a truly unattainable task that leads to increased misery. Some people need *tangible* steps. Some people do not. 95% of the people you worked with were being asked to do something that is unattainable in their current state. We know enough to not ask a person without working legs to walk. Hopefully sooner, society will understand that not everyone is currently wired to think more positively. The impact of trauma actually wires our brain differently, making new thinking monumentally difficult, without addrsssing the underlying ingrained patterns of blockage. I’m not saying it’s hopeless. I’m saying people need more and different interventions in order to make progress.