We are very excited to celebrate with Lisa Bravo as she was awarded the very first Certificate of Nurtured Heart Approach® Master Training.

Lisa, as the Clinical Director of the Children’s Success Foundation will soon roll out and supervise the first stages of the NHA® Master Training Program which will soon be open to a first round of qualified Advanced Trainer applicants.

As Executive Director and creator of the approach, I am honored and thrilled that Lisa has emerged in this lead role in both the foundation and the Nurtured Heart® movement. This marks a moment in time that we’ve been considering for a very long time. We have known that we needed a trajectory of attainment and further training for quite some time and we are so excited now to have arrived at making this level of training available in the very near future.

Congratulations, Lisa Bravo!

Sandy Newmark, MD is a leading edge physician in Integrative Pediatric Medicine. His mission: treat children with behavioral challenges without the use of medication. His method: an Integrative strategy that includes the Nurtured Heart Approach.

In December 2011, Dr. Newmark gave a talk that has been posted on UCTV, the University of California’s digital media website – it is one of the most highly watched videos, 2.4 million viewers in 2 months.

Watch the Video

http://www.uctv.tv/search-details.aspx?showID=23045

Buy the Book

Dr. Newmark’s book ADHD without Drugs is an essential read to understand the relationship between drug-free medical practices and the Nurtured Heart Approach. You can purchase it through Children’s Success Foundation:

http://nurturedheartbookstore.com/sp-bin/spirit?PAGE=56

Join the Discussion

Please post your comments underneath the video on the UCTV, a great place to get the discussion started!

On a recent trip to a conference in Phoenix, Ivri, CSF Director of Development, and I enjoyed the great food at True Foods in Scottsdale, Arizona. It’s an Andrew Weil restaurant that has an amazing variety of foods that feel so nourishing and perfect.

The highlight though was our beautiful interaction with our server, Jason. We had the idea that we might want to do a “compliment cam” to capture the appreciation we wished to give him for his great level of service. When Jason noticed my phone in the video mode, it felt like the moment to ask if he minded if we filmed him while I offered my gratitude (and of course if it was okay to post it on Youtube and on our blog page). He was instantly “all in.” Watch the video and you will see how gracious and receptive he was. It was so much fun to appreciate him for all he brought to the enjoyment of the meal.

On the way back to Tucson a few days later we stopped in at True Foods before hitting the road to get a to-go-meal. There was a very happy Jason beaming as he saw us come in. We got to show him the footage and he loved it! He shared with us he is a graduate MBA student who wants to open a restaurant. If you get to Scottsdale, say hello to Jason at True Foods, or maybe even his own place, which will no doubt be infused with his shining Greatness.

May you always be nourished with Good Food and Great appreciation.

The story was born shortly after my daughter was born in 1991 and it soon became abundantly clear that my crazy hours working for a family therapy clinic were not going to do. After a lot of thought I decided to throttle back my career temporarily by taking on a job with clear time boundaries of 9 to 5 and Monday to Friday ONLY. Yeah! That was easy!

The job was working as a case manager for the local behavioral health authority and it entailed taking on a case load of 35 existing ‘high level’ children already in the mental health system and a handful of new cases as they trickled in.

One of the more interesting components of the job was a duty to always attend the monthly med-monitoring appointment. Along with the child and parent, we met with whichever child psychiatrist was assigned. For the new children I attend the longer and more extensive initial psychiatric evaluation. When I started this position every single child on the caseload I inherited was already on medication.

I do believe in symptoms, and I am very aware that there are symptoms that are distressing, alarming, annoying, and stressful to the adults involved and self-defeating on the part of the child, however I am, as a result of these many hundreds of medication related visits over the course of a nearly two-year period, much more reluctant to simply follow the prescribed medical model of believing symptoms equal pathology. I have two main reasons for stating this. The second one is a hopeful reason based on the results I have seen without resorting to medications. I will talk about it near the end of this article.

The reason most relevant to Bipolar Disorder is both frightening and reprehensible and one I’ll try to do “justice” to first, as justice really does fit here. Justice begs the question as to why the behavior-diagnosis-medication-increase medication downward spiral that I am going to speak about continues to this day.

Here goes: Most of these children on my caseload started off as diagnosed as either severe ADHD, ODD or PTSD with symptoms of ADHD. At this period of time in the early 1990’s, almost all paths of symptomatology related to behaviors that were distracting, impulsive, oppositional, aggressive or distractible, seemed to lead to prescribing Ritalin. In reviewing the cases that I inherited, it was evident that the medications and any other pre-existing additional treatments of individual or group therapy were not working. I base this assessment on the clearly charted existence of the same complaints, issues and problems continuing on month after month and year after year. For the new children being added into the system and onto my caseload it seemed to me that Ritalin was deemed to be the only treatment idea any of these staff doctors had after the first few moments of meeting the child…at which point they were simply then titrating the dosage.

I remember one time when the doctor was sitting behind an unusually big desk with his unusually large collection of distinguished diplomas on the wall behind him, a very impulsive child and his young parents dutifully sitting in front of him looking for answers. He had no sense whatsoever of how to either talk to the child, direct the child, or advise the parents to help the child. In fact, he actually said a few reactive things to the child that clearly accelerated his negative acting out. And the remarkable thing was that within the half-hour or so of the initial psychiatric evaluation this doctor kept scribbling prescriptions on his pad, then wadding each one up as he kept raising the dose progressively in relation to his having no idea how to really help this child or advise these parents. (What’s stunningly remarkable is years later when my reputation for helping these very hyperactive children became widespread, this doctor brought his child and family to see me because he didn’t want his own child to be on medications.) This same scenario of surrendering the possibility of behavioral treatment and resorting to dispensing medication is true for every single child psychiatrist that I had witnessed as a ‘fly on the wall’ case manager, except one.

That one was an interesting exception. Unfortunately not a beacon of hope. Although she publically claimed expertise on the specialized subject of children with Bipolar Disorder, partially based on her stated reason that her son was Bipolar and “living” with such a child contributed strongly to her being an expert, she, at the same time, always let it be known publically that it was not going well.

The early 1990’s was clearly a moment in time when the diagnosis for children of “Bipolar Disorder” was coming into vogue but what was so distressing is that every single child that I knew that had this woman as their assigned doctor quickly gained that new diagnosis – almost as if she saw this as an upgrade, this despite the fact that most other doctors would have viewed the same symptoms as ADHD.

I know we would so love to see the DSM and diagnosis as an empirical and objective process but this was just the tip of the iceberg in coming to see the truth that the opposite was the case. In reality, diagnosis is ever so subjective.

This psychiatrist came to mind earlier this year when I was asked to do one of the keynote addresses at a state-wide Mississippi ADHD conference. This invitation to do so got my attention since my alternative views on medications so often precludes me from being an invited speaker, but here I was getting to speak by way of a strong recommendation by a clinician on the conference committee who suddenly was having extraordinary results by using my approach to treatment, the Nurtured Heart Approach.

It was fantastic to present to so many professionals that don’t ordinarily get to hear about alternatives to medications. And one other thing I did differently at that conference was to attend a few other sessions – one of which was by another Psychiatrist who was a self-proclaimed expert on Bipolar Disorder. Her talk was authoritative and informative within the limited viewpoint that all paths lead to medications, a conversation I have heard many times before. The startling revelations for me were 1.) a complete absence of understanding the dynamics of these children in terms of how they respond 2.) how these children can be understood in relation to other human beings and 3.) a complete denial of any possibility that there could be an iatrogenic component to the dilemma of what she described as this: All children with Bi-polar disorder have comorbidity with pre-existing ADHD. Never did she consider that that the dynamics of the symptoms in relation to the dynamics of the previous treatment by way of medications could actually be the launching pad for what is deemed to be Bipolar Disorder.

So now back to 1991-1992, my two year period of incubating the impetus of the Nurtured Heart Approach and of having my eyes opened wide about how the medical communities ineffective treatments for ADHD is itself a pathway for the almost inevitable progression to a Bipolar diagnosis – or code for going from a gateway mental health concern to having two feet squarely in the camp of being a chronic mental patient and being at risk for much more serious repercussions of medication and life impacts and side effects.

What I saw over and over and over again was a nice person who was a doctor trying to do their job as best they could with the limited knowledge of treatments they had – primarily a choice of medications 1, 2 or 3 and absolutely nothing outside this realm – encountering standard fare symptoms of ADHD and treating it always with medications 1, 2 or 3. What happens in subsequent visits is the frightening part.

By way of standard medical theory and practice this nice person who is a doctor sees their child client and a parent each subsequent month sticking to the protocol of simply asking, “How it’s going?” Sounds nice, warm and friendly, but it’s actually deadly.

I came to seeing so clearly as a result of the perspective of seeing so many of these appointments each month, that the doctor’s simply asking what seems to be such a very innocent question will always inevitably lead to more medications: the meds having meds because of how doctors treat the many predictable and unpredictable side effects of meds with other meds, and to, at the very least, higher and higher dosages of the original medication on this wild goose chase to help. The body is miraculous and it adapts to foreign substances and the dosage of Ritalin that seems to produce “improvements” for a few months at some point needs to ramped up to continue that fleeting illusion of positive change.

I got to see that the above process of helping was further from an empirical and objective process than most people are led to think. It was nothing but a nice doctor on a completely subjective, though well-intended, fishing expedition…that almost always led to the child thusly being labeled Bipolar. The doctor’s asking questions pertaining to “How is it going?” always led at some point to problem-oriented answers from the parents and further dutiful follow up questions led to more and more discussion of problems and issues. It was a one-way street.

Even if the parent started with an answer of “pretty good” or even “a lot better,” the doctor followed with obligatory investigation that led somewhere and that somewhere was always inevitably negative in orientation because that was the foundational basis of their only barometer…follow the pathology. Here’s why there was nowhere else to go in my humble opinion:

Medications NEVER really cure anything. How do I know? Simple observation. The problems never stopped by way of the medications but simply got masked over. How do I know? Before the meds start up in the morning and after they wear off in the evening, every single day without fail the problems are still there. Ask any parent. There’s been no essential healing. The child is none the wiser on how to best control the problem, and the parent and teacher are none the wiser either on how to best help the child – so the problem resides always just under the surface. So, if a parent is asked repeatedly “How is it going?” especially if they see the doctor lean in with more connected interest when they describe problems, there will always be always be issues at hand to describe…and they will.

I guarantee you at some point the parent will use the word depression or anxiety. Why? For one thing, these children have inherently confusing lives. They are told over and over to behave and to do the right thing but they typically get under-celebrated and under-recognized and under-appreciated when they are behaving and doing the right thing. They actually get so entirely and thoroughly “energetically celebrated” when things start going wrong. That is when parents engage, verbalize, and get excited.

Society’s statements of praise such as “thank you” and “good job” are sparse and pale compared to how juicy society’s statements of disappointment reprimand and upset. Even our teaching moments for these “symptomatic” children seem to most often occur when things are going wrong and they have us being so much more alive, present, juicy and willing to spend quality and quantity time and life force as compare to how little we lean in when things are going right.

As a society we seem to have to wait until the A’s on the report card to have the juicy responses to the positive, but when things go awry even a hair we can barely wait to say the million things that come to mind. That’s when our children see us waxing poetically. That’s when the poet in us surfaces – to say all we feel compelled to say when something was not done well enough or when a poor choice was being made.

So can you imagine how confusing that is for a child? We are constantly saying: “Do the right thing,” but essentially we keep paying kids the big bucks energetically for the very opposite. Of course then they are depressed and anxious. If someone confused your life for a day or week or month at some similar level you’d be enormously confused and eventually anxious and depressed.

Eventually, one day in a medication review with the doctor this whole pattern unfolds. I’ve watched the following a hundred times like clockwork – the nice doctor scratches his head with a somewhat puzzled, yet self-satisfied, look and slow-releases the words that come, so predictably, to blow me away: “Well maybe it was never ADHD after-all, maybe it was Bipolar Disorder.”

In those very minutes everyone’s lives change in an instant. The child has now received a life sentence – a serious supposed life-time condition. The child and the parent become subject for a much more chronic sense of mental illness driven home by the medical communitie’s sense of what is though to be an untreatable brain disorder and permanent chemical imbalance. It’s saddens me to think kids and their parents are led to believe this is true.

So now, the ray of hope.

I see these very same kids with the very same symptoms re-immerge into their greatness as readily as anyone else. In fact, their extra added intensity, sensitivity and life-force is an asset to being extra-ordinary. Greatness is their fate when coaxed into manifestation through approaches to parenting, teaching and treatment that match the child’s level of intensity. Then they can flourish. The important piece of the equation is that everyone is already trying as hard as they can with commonly accepted approaches that share in common mostly one version of normal/traditional treatment. The issue is that these paradigm-sharing approaches fall apart in the face of challenges.

Whether it’s the Nurtured Heart Approach, or any other method that’s truly up to the task, we need these effective strategies and ways of thinking to be more widespread so we can lessen the pitfalls of the medical model’s limited prospective which has no idea of how to turn intense into immensely great.

In all fairness, there are now many integrative pediatricians and family practitioners and psychiatrists who are not only slow to start the ball of labeling and medication, but who have real treatments based on real emotional nutrition and real sacred and loving advise related to body, mind and soul.

The work of Dr. Sandy Newmark, author of ADHD Without Drugs and the work of Dr. Scott Shannon, author of Please Don’t Label my Child, both associated with Dr. Andrew Weil and his inspired work in Integrative Medicine, come to mind first and foremost among many such doctors who are moving into this realm despite the dominant pathology first premises of traditional medical training. There are many doctors now who take symptoms as an indication that the first line of recommendation and treatment is to introduce the family to approaches that change the course of how the child is viewed, interacted with, and appreciated and lead the family to see the great impact they can quickly have.

Once a family sees such an impact they then so often have the knowledge, wisdom and courage to approach the teachers and school and share what they now knows helps a child to flourish at school as well as at home. I now know many parents who have inspired changes in school cultures that are so significant that some hardly ever now experience the need to refer children for the evaluations that so often lead to diagnosis and medications. The proactive track is so much better and there’s so much more flourishing at the level of the family, the school and the community.

Bonus: when families enjoy the impact of helping their child to flourish the rate of marriages falling apart drops dramatically. It brings them together.

As it is now, 7 out of 8 marriages that involve intense children fail if they don’t find ways to turn that child around. Medication just bides time in the equation. It’s the same with teacher attrition: when educators find answers, they no longer feel like quitting the field. But as things are now they are quitting in droves: one out of every two new teachers leaves the field in the first three years.

We cannot afford this pattern of quitting, yet paradoxically, quitting is the answer. I suggest that we quit methodologies that no longer serve children. And find the courage to take up new tools that effect real change.

So many treatment colleagues have shared that prior to finding an approach that really works to turn a child’s intensity to greatness, they felt no recourse other that to look for ways to moderate the accelerating poor choices that children they worked with were making. Most relevant here is, that in retrospect, they felt that it boiled down to simply being faithful to their training, which it turns out so often is a set up to fail with difficult children.

And I can second that motion. Hopefully things have improved now, but even going to a top school in Clinical Psychology, with highly inspired and brilliant professors, only netted me a repertoire of methods that I felt ran me into a wall when actually working with clients.

Where the rubber meets the road, I felt like so many clinicians that I was actually witnessing things getting worse for the families I was trying to help and to whom I was certainly giving my best advise. Many treatment disciplines can be a burn out for the practitioner simply because of the methods we are given and perhaps worse, these very methods actually put the very children and their families we are trying to help at risk for escalating problems and further treatment that brings modalities such as medications into play.

Certainly when we wring our hands in frustration and see no rays of light ahead for a client, we feel ethically bound to recommend attempts to provide relief like psychiatric evaluations. What most people do not know is that a child and family innocently sent for a behavioral evaluation with a medical professional most often winds up with a prescription in hand that very day. Doctors surely are trying their best to help, but if all they have in their knowledge base for treatment is medication 1, 2 or 3, then medication it is.

So let me explain why, in my opinion, most treatments fail with these children. Most treatment paradigms are still medical model at the core – pathology-based and problem-oriented. All the theories and philosophies of treatment when I was a student believed that if you simply get to the bottom of a problem by talking it through, by facilitating understanding, by getting to the core of the emotions and by uncovering the depths of the currently twisted dynamics that blessed relief will occur.

This sounds so right in theory but in practice the problem is that, from my current prospective, any and all of this type of exploration, of trying to find the mystical “why” actually rewards the very problem you are trying to solve.

It’s my belief that it is remarkably easy for any child with a little more life force, intensity, sensitivity and neediness to watch their world and decide that we adults are so much more interesting, animated, available, connected – offering juicier relationship – when things are going wrong. When things are going right we are relatively low key and even boring. Even highly loving parents and teachers typically are limited to a few short praises when things are going well like ‘thank you’ and ‘good job’ whereas we can wax poetically over most anything negative. No one wants to go back to dial up – we all want better broadband. Kids accidentally discover that the best broadband is available when things are going wrong and it simply becomes habitual, and for some kids, perpetual. It’s all about energy.

How do I know this is true? When you change the flow of energy and bring it on when things are not going wrong – when things are going right – all of a sudden the most challenging children become so much more interested in making positive choices. Conventional and traditional approaches to parenting and teaching set kids up for this becoming an escalating pattern of difficult behavior. Adults are simply trying as hard as they can with normal methods, and when problems emerge, out come the lectures and strident measures of correction. Lots of energy flows and that just deepen the pattern.

And there it is; therein lies the problem with traditional treatments. They so strive to engage with the child at the point of the problem that they inadvertently wind up so often making matters worse – further entrenching this child’s basic impression that they get more – more and better energy, connection, and relationship – when things go wrong.

I’ve met so many school counselors, as an example, who get called into a classroom in the midst of a problem with the expectation that they need to take the child to their office for a discussion, resolve the issues, and document the incident. The real problem is the nature of their training and the fact that they are such nice people. So they get the child to their office and talk and all might seem rosie, but guess who is back having the same or greater problems the next day if not sooner?

And then, given the progression of the child’s progressing impression that ‘better broadband’ – sweeter relationship – through negativity, before you know it the school is pushing for an evaluation and medications.

It’s a setup to fail. Our philosophies of parenting, education and treatment so often guide us and propel us in a direction that brings us to the cliff of seeing no other alternatives.

Unless a social worker, counselor, psychologist, coach, therapist is consciously daring to exit normal approaches and find an alternative that truly strengthens children from the inside out, that refuses to be problem- and pathology-oriented, refuses to energize negativity, and finds the perfect but truly available inroad to limit setting, we will keep losing these challenging children to the ethics of pathology and where that road ultimately leads.

The great news is that once the pattern is reversed and great connection is restored through energized appreciation and gratitude for a child’s good choices, good can go to great. Once that channel is open it’s easy to appreciate a child like this: “Kimberly, I appreciate that you didn’t argue when I said no to your request. You are showing me your wisdom, power and control in following that rule and for choosing to be respectful.” Just watch how things shift when children are notice for the great qualities that are always already there. They light up and begin seeing that an even higher caliber ‘broadband’ is available for doing what’s right. Then the icing on the cake if parents, teachers, and treatment professional are really daring is to take it to the level of greatness. “And Kimberly, these are all qualities of your greatness that I see in you.”

We all want better connection in some ways – call it oneness, intimacy or closeness. Watch what happens when you consistently demonstrate to a child that it’s truly available through positivity. Then we get to see children who are thriving; then the last thing we’d ever want to do is put out the fire of their intensity with medications.

Last weekend I had the honor of presenting one of the Keynote Addresses at the Illinois Association of Marriage and Family Therapists in Chicago. What an amazing group of people! I am so excited to rediscover the wonderful connection between our work with the Nurtured Heart Approach and my family therapy roots. What I reawakened to was the great systemic thinking and applications of Marriage and Family Therapists – so in harmony with Nurtured Heart Approach.

Many of those I met are in private practice with expansive horizons and a view to the future in seeing how work with families struggling with challenging children naturally brings us all to connection with schools and how these children fare in this crucial environment.

What I love most about Marriage and Family Therapists is the course of study this particular discipline takes. They are devoted to the well-being of children and families and take on systemic points of view they lead them to seeing how families can thrive. MFT’s are not inherently pathology oriented as are so many disciplines that study the medical model as the primary source of theory and practice…so MFT’s can truly appreciate the beauty of having medications as a last-case scenario and they are not ethically bound to recommend that diagnosis and prescriptions as a first-course of action. Several therapists I talked to at the conference take the starting point too that I did as a therapist. If a diagnosis needs to be made for purposes of insurance then perhaps start with a viewpoint that this is an adjustment disorder, begin a treatment that is strength-based and see how “symptoms” sort out as treatment is underway.

Many participants mentioned that sharing my experience – how these children are shifted to being intensely great in a matter of weeks – matched their vision and desire of seeing the parent emerge as the hero of the story – feeling great that they turned this child around with the impact experienced from a new point of view and new methods of approaching the child.

I felt so honored to be able to share my ideas and the concepts of the Nurtured Heart Approach and to subsequently hear consistently amazingly inspired feedback.

I had the opportunity to loosen up the shirt sleeves and go out later that night to a fun place where nearly 50 MFTs and I got to kick back and share good food and a great time listening to the Beatles.

I also got to spend precious time with the leadership of this organization and get a sense of the great integrity and compassion prevalent in this group – a great role model for our emerging Association of Nurtured Heart Advanced Trainers and soon-to-be-Master Trainers!

The world is ready for Nurtured Heart Approach and MFTs is one group that will certainly lead the way.

Turning a Child’s Intensity to Greatness

by Howard Glasser

My passion in the medication debate stems from my clinical work with families with challenging and intense children. I got to see that with 2-3 weeks – at most within 2-3 months for the most difficult children – that the very same intensity that had gone awry became the very fuel for that child’s greatness. And I got to see that their extra-added intensity was therefore a great blessing, rather than cause to label them with a diagnosis – predicated upon a view of the symptoms as pathology requiring medications.

I got to see that an entirely different course of action could light up an infinitely greater runway for a child and their family instead of taking a course of actions that so often endangers a child with unforeseen side-effects, perhaps the worst of which is the meta message to the child that something is drastically wrong with them in regard to their life force because neither they or their parents or teachers can handle it – we need to make their intensity go away.

If we really saw life force / intensity as a blessing that could be transformed into greatness we would never ever dream of doing that. Life force is precious. It is common to us all and some simply have the gift of having more than others. Without it we’d be lost. Without it we might not even be able to get out of bed. Without it we wouldn’t be able to live our dreams or fulfill our passionate lives. We need our future generations of children to have their intensity intact so that they can do the great things we need them to do. We can’t afford for future generations to be lost with their intensity suppressed.

Besides, at most, medications simply give the illusion of improvement. In a way “improvement” pales in comparison to what I found to be consistently obtainable “transformation.” Before the meds kick in and after they wear off the problems are still there – nothing has changed and there has been zero healing. Isn’t healing what we want? Don’t parents and teachers deep down simply want all along to see this child use their intensity in great ways. With medications the parent is none the wiser on how to best help this child, nor is the child any the wiser on how to best help themselves. There must be a better way – and there is.

The reason I can say this is that, by grace, I stumbled upon devising a method of helping these children that I came to eventually call The Nurtured Heart Approach and that is what I will write about mostly in this blog. I will do my best to tell you how the approach came to be and what kinds of impacts it is having, as well as giving you some sense of what it is and how it works. As this is my first blog I will save most of it for subsequent notes but for now I want to say that what I found through this work has given me great hope and that is what I want to inspire in you.

I don’t want to waste my time fighting the pharmaceutical companies. Other people have that talent and I applaud that. I simply want to show over and over again that with the right kind of approach these very same children of concern can easily be “transformed” to be the best children on the planet.

I’ll give you one example for now: Tolson Elementary in Tucson, Arizona has been using this approach now for over 10 years and since that time, as a school with well over 80% free and reduced lunch and other demographics that go with an at-risk population, they went from a school with the highest rates of suspensions, bullying, teacher attrition, use of diagnosis and medications in their large school district – a school designated as failing and with a high rate of special education – to a school that is designated as excelling – going from over 15% special education to less than 2%, to almost zero bullying, suspensions, teacher attrition, with zero use of diagnosis and medications and more.

They did this because they began changing drastically the way they relate to children. This is what I will describe as these blog posts unfold and evolve.

I certainly believe in symptoms. I believe there are kids loaded with symptoms that frustrate, annoy and drive parents and teachers to distraction. However, I also believe that the energy that drives these very same symptoms can be rerouted to greatness. Greatness can be awakened in the most difficult children with methods that are geared to how these children respond to relationship and energy. Then we don’t have to hope that they will find a “way” to channel their energies to activities like scouting or dance, baseball or soccer or any other activity. Not that these are bad. It’s just that there’s a better solution – where the child awakens to who s/he really is as a great person, and as that assimilates and integrates, then we will have a child who acts-out in an entirely different way – they act-out in greatness and manifest that wherever they go.

So I hope I have caught your interest and I will be back with more when the time is right.

To Your Greatness,

Howard Glasser

Creator of  Nurtured Heart Approach