This is an example of a fictional client who is low in self-determinism. Her name is Jenny and Jenny has no motivation to recover from her depression, although she says she wants to overcome her depression. During her daily routine, Jenny doesn’t accept responsibility for her behaviours, eg sleeping all day, eating junk food and not exercising. Jenny doesn’t believe she has control over any aspect of her own life. Jenny firmly believes the problems she has in life are either somebody else’s fault, or were caused by some force outside her control. Jenny doesn’t believe that she has control over any aspect of her own life. When she is confronted with challenges, for example her mobile home is falling apart, she feels¬¬¬¬¬ that she can’t overcome those challenges due to her own limitations, unfortunate circumstances or plain, bad luck. She relies solely on help from outside sources in her family, friends or society to help her avoid taking action. In other words, she waits day after day for somebody to come along and fix her mobile home, rather than taking any action to solve the problem herself. She prefers not to make attempts to help herself because she is sure she will fail in meeting them. This scenario is unfortunately true for many chronic illness sufferers, who wait for help from outside sources rather than relying on their own strengths and abilities to help themselves through negative situations. Yes! We MS/Parkinson’s/Cancer, etc patients were dealt a rotten hand in the card game of life BUT always have control over our attitude about our situation.