However, some of the sick are not sick for lack of life-style information; they suffer from a mental/spiritual malady as well, one that inevitably preceded their illness by many years. In fact, their physical ailments are merely reflections of underlying problems. This patient's life is usually a snarl of upsets, problems, and guilty secrets. Their key relationships are usually vicious or unhealthy. Their level of interpersonal honesty may be poor. There are usually many things about their lives they do not confront and so, can not change. With this type of case, all the physical healing in the world will not make them permanently better because the mental and emotional stresses they live under serve as a constant source of enervation. Cases like this usually do not have only one thing wrong with them. They almost always have been sick for a long time; most have been what I call "doctor hoppers," confused by contrary diagnoses and conflicting MD opinions. When I get a case like this I know from the first that healing is going to be a long process, and a dubious one at that. On the physical level, their body will only repair one aspect of their multiple illnesses at a time. Simultaneously, they must be urged to confront their life on a gentle gradient. There is usually a lot of backsliding and rollercoastering. The detoxification process, physical and psychological, can take several years and must happen on all the levels of their life. This kind of case sees only gradual improvement interspersed with periods of worsening that indicate there remains yet another level of mental unawareness that has to be unraveled. Few medical doctors or holistic therapists really understand or can help this kind of case. To do so, the doctor has to be in touch with their own reactive mind and their own negative, evil impulses (which virtually all humans have). Few people, including therapists, are willing to be aware of their own dark side. But when we deny it in ourselves, we must pretend it doesn't exist in others, and become its victim instead of conquering it. Anyone who denies that they have or are influenced by their own darker aspects who seem to be totally sweet and light, is lying; proof of this is that they still are here on Earth.