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Kattni emphasizes that this is not a simple story of having a problem and then fixing it and then it's fixed. Trauma responses don't just go away with a little bit of empathy. Trust is not permanent; it can be broken, it needs to be repaired:
"I went through being convinced that I couldn't do this, several more times…over time, though, the ups have begun to outnumber the downs.…This is a hard fought improvement. It came through both repeated successes and multiple mistakes."