Sometimes aiming for self improvement by itself is not the most effective approach, especially if you’re facing other serious psychological challenges. By way of analogy, imagine doing stretches every day for back pain but continuing to walk around with a heavy boulder on your back. Lightening your load first would make it easier to get lasting results.
Professional help is always available for ongoing problems that can feed a negative attitude toward yourself, such as trauma, abuse, chronic pain, financial stress or marital breakdown.
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Source: RD Canada