Therapy, all forms of therapy, are based on a foundation of mutuel trust. A prospective client needs to be certain real and lasting change is possible, they need to have their concerns acknowledged, they need to be offered options and proposals, and they need to be certain that the therapist in front of them is the person who can help. The therapist needs to be certain the prospective client is committed to the process and to constructive change. What binds these possibilities together is the emotional foundation of trust. With sustained trust, mutuel respect and compassion between client and therapist, tremendous and permanent change can happen.