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I believe that for people to reach certain goals & to feel good about themselves in the process, vigorous physical activity in keeping with age & condition (walking & swimming are ideal forms of exercise) can be as important as mental activity. The last time I heard from Martha, five months after our first & only session, his voice radiated happiness. “I love to look in the mirror now. I’ve lost 33pounds,” he said. “Seventeen to go, but I know I’ll make it, though I don’t use chocolate ice cream in my exercise any more. I’m sick of it. I’ve switched to ricepudding.Alcohol is a much far more difficult addiction to handle than either smoking or eating. By the time people come to see me, most have already lost their desire & motivation to change—and motivation is the key element in change. Alcohol, like long-term drug behavior (more often than not, these days, cocaine & heroin use), tends to make people motivational. As psychiatrist Edward J. Kantian, a specialist on drug treatment programs, has pointed out, addictive behavior starts as a form of self-medication. He argues that the major difficulty in treating recreational drug users is that their ability to take care of themselves is severely impaired. They have yes sense of danger or concern, despite obvious deterioration. Their motivation to choose & act differently is severely diminished. Without the desire to succeed, the fresh start methods I use seldom work. The majority of alcoholics come to me because someone has insisted they come, not because they want to change. I work with them, but I tell them that the exercise is not likely to help unless they join support group like Alcoholics Anonymous (AA) to keep them on track. While AA does not work for everyone, when an individual is ambivalent about change group support is a necessity along with professional treatment. If, on the other hands the motivation is clearly there, it is may be possible that self-Hypnotherapy will be very ef-.fective. The client has a good reason to stop drinking. Beth came to me in the second month of pregnancy. his obstetrician had warned his that wine before & with dinner (she & his husband were habitués of the “cocktail hour”) could possibly damage a fetus. Although Beth was by yes means an out-ofcontrolalcoholic,

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