Communication is a key to helping your clients. I have felt I felt in session, I was losing some clients, and sure enough they left. I now make sure, I understand my clients needs a head of time. The wholistic approach that was disscussed is a definate YES! Nobody has a life that is a cut and dry textbook case. Society brings on changes that we must keep up with. Relationships change constantly, not only societial-homo, lesbian, straight, but within the relationship are changes weekly..new baby, death, children, adopting, loss of job, new job, stress on job, affairs. The appropriate measure must be taken to each different situation. Don't be afraid to say "this approach isn't working well with you let's do this and tell them why. Look at the perspective they are speaking form and adapt. The client is looking to us as their practical guide instead of doing that research themselves..Self help tapes, books. Empower ourselves and your clients.