Patrick Bell

About

A few sessions in, someone will describe a step we agreed on weeks earlier and mention it almost in passing, without the pause they used to put in front of it. They rarely notice. I always do. That flattening is how progress actually shows up. A fear of heights does not usually vanish in one dramatic moment; it loses its grip in small increments until the thing that ruled your decisions becomes merely inconvenient. We agree on each step before it happens, and you keep a standing right to say not today. We aim for inconvenient, which is a better and more honest target than fearless. Time in hospital and intensive outpatient settings taught me to notice small changes before the person having them does. That accumulation is slow to feel and easy to underestimate from the inside, so I will point it out as it happens. If you want to start somewhere very low and very manageable, reach out.