For years, one question kept bothering me:

How can you do meaningful therapy without beginning from psychiatric diagnosis?

As a psychotherapist, executive coach, clinical supervisor and researcher, I’ve spent over 20 years working with more than 1,200 clients. Across therapy, coaching and supervision, I found myself thinking less in terms of labels and more in terms of what I came to call functional difficulties.

Things like:

Too much feeling.

Too little feeling.

Too much control.

Too little control.

A fragile sense of self-worth.

Relationships organised around attack, withdrawal, approval-seeking, or collapse.

That led me to a deeper question:

What is the full set of human difficulties a person can have?

And by implication, what is the full set of human strengths a person can ideally develop?

That question eventually led to the Lifelong Capacities Map® and, later, PsycheVita®.

And it changed how I think about distress, growth, and what real personal development actually means.

I’ll unpack that properly in the next post.

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