When does stuckness give way to change in therapy? How does a resisting client become a working partner? The key, of course, lies not in exerting pressure but rather in exploring the cost of old patterns and empowering a sense of choice. Susan Warren Warshow, psychotherapist, author and founder of Dynamic Emotion Focused Therapy, reflects on the painful intrapersonal and interpersonal consequences of repressing feelings – and how identifying these with compassion can help our clients leverage their healthy internal force.