HOW MANY PSYCHIATRISTS DOES IT TAKE TO CHANGE A LIGHTBULB?

I think that the joke ends with "just one, but the lightbulb really has to want to change."  Get it?  I actually do not recall what the joke was supposed to be.  I recall it now because I believe that it contains an important truth.  When we are offering our medical skills to help another human being, the outcome does depend significantly on how much the person wants to change.  Wanting to change can mean: a desire to feel differently; to cope in a different way; to be more hopeful; to understand what is influencing their lives; etc.  Changing seems to require that someone chooses to seek help and chooses to try to make a significant change in their life.  Clearly choosing to start this process of changing one's life seems to be necessary.  This choosing helps our brains recognize that we are serious about a significant [big? major?] change and our brain will be more likely to help us.  If we are not clearly choosing to make a significant change then our brain will very efficiently maintain the old pattern of functioning and ignore our meek attempts to make a change. So, it helps to have big goals like zero stress as our brains recognize that as a different pattern and will work with us to achieve this goal. I have blogged about "baby steps," pointing out that when a baby starts to walk [starts taking baby steps] they are thrilled and it is a big change with everything seeming to be different. That is what we need to do to make changes in our lives, take those huge baby steps. What do you think?