Do you have patients who are “stuck” and resist change? Would you like to help the 50 percent of patients who drop out of therapy before they have received its full benefits? If patients do not experience change within the first seven sessions, they are likely to stay stuck in therapy and in their lives. Co-Creating Change shows therapists not only how to understand their patients but also what to do to help them let go of their resistance and self-defeating behavior and instead willingly co-create a relationship for change with their therapist. To be successful, therapists must know how to intervene to help patients experience previously avoided feelings. Co-Creating Change provides clear, systematic steps for assessing patients’ needs and intervening. Every technique is illustrated with a clinical vignette. The vignettes—representing hundreds of therapeutic impasses taken from actual sessions—show therapists what to say so they can  Assess and respond to patients’ needs moment by moment.  Help patients develop and keep an effective focus that leads to change.  Help regulate patients’ anxiety.  Teach patients to see and let go of their defenses.  Help patients stop resisting and start collaborating in therapy.  Assist patients who use treatment-destructive defenses.