Sometimes problems are deep rooted and trauma has occurred earlier in our lives. This could be due to family break-up, death, child abuse, sexual abuse, rape or family mental health issues.
The ways we have managed to survive in the world can affect every part of how we are and how we behave with others. Although we survive, this does not mean that we are necessarily happy.
As a result we can have feelings of isolation, of an inability to cope with even the simple things in life. Complex issues may have been caused as a result of the use of drugs, or self harm, in order to manage our feelings.
We may find our relationships are complex and never seem to work. We feel 'different' or 'weird', and long to be like others, to manage living without the weight that we carry.
In these circumstances we need to work at a much deeper level, and it is then that the work can take longer.