Mindfulness based psychotherapy emphasizes and cultivates our capacity to see clearly what is arising in any moment and greet our experience with wisdom and compassion. So often we cling to an idea of how we want things to be or avoid what hurts. In this way we tend to add on to the suffering with judgments and self limiting beliefs. With mindfulness we can begin to understand that transformation comes from changing our relationship to what is going on – rather than trying to change the reality of what is going on. In this therapeutic process we can courageously cultivate a willingness to be open to the ephemeral nature of experience with patience, compassion and lovingkindness. This involves letting go of our preconceptions, projections and tendency to not live fully. People come for psychotherapy when they are hurting or feeling stuck in unproductive thinking and behavior. This can manifest in the body-mind-spirit as depression, anxiety and illness. It can also manifest in relationship difficulties, career and work performance and repetitive self deprecating behaviors. What is often needed is a safe environment to cultivate acceptance and the willingness to honestly explore the truth of what is happening.