Empty nest, a new medical or mental health diagnosis, care giving or living with a parent, divorced, or widowed: our clients sometimes tell us about the big life changes they have experienced or are dealing with presently, and sometimes they do not. But we get clues as we work together. There might be the emotional fog, the unusual distractibility, difficulty making “no regrets” decisions, the hypersensitivity to visual or auditory noise, the feeling of out of control time management, and the letting go issues –of the stuff but much more than that.