The first session I work with a patient, I assess the persons cognitive abilities, any evident mood disorders and primary addiction. If a patient can't think clearly, psychotherapy and interventions will not work as effectively as needed. Then I will assess, ego strength, personal boundaries and how much reality is present. Mood disorders if moderate to severe will be referred to trusted Psychiatrist, if there is mild impairment natural remedies will be discussed such as exercise, yoga, diet and sleep.