In order for changes to take root, it is important that individuals and family members:

In order for changes to take root, it is important that individuals and family
  members:
 
  a. really want to work at changing their behaviors, perspectives, and sometimes
  their beliefs about a particular situation.
  b. at least briefly become aware of the change and make a decision about
  whether the changes are beneficial to them and are enhancing their
  psychosocial functioning.
  c. allow for enough care of themselves, each other, and the problem so as to
  feel safe enough for the change to continue to flourish.
  d. evaluate their progress and strategize as to how they are going to reach their
  goal no matter what obstacles may stand in their way.