This book is dedicated to Karen, my love, wife, and friend. Preface to the Project Gutenberg Edition Nearly three decades have passed since _When You Don't Know Where to Turn_ was first published. In that time, psychiatry, clinical psychology, and counseling have changed a good deal. Psychiatry has continued on a now well-worn path leading to a more and more inflated universe of diagnostic labels, the majority of which have no known organic basis. Few readers who are not themselves mental health professionals realize that these diagnostic classifications are _voted into existence_ by committees of psychiatrists whose pronouncements magically summon into being a lengthening list of so-called "mental disorders." These pronouncements are then applied to people in order to label their problems (as well as the people who have them), to match their problems with allegedly effective treatments, and in the process to give the impression that a respectable medical process of diagnosis and intervention has been undertaken. And yet these so-called "mental disorders" do little more than equate designated patterns of behavior, emotion, or thought--called syndromes--with alleged psychological malfunctioning. Such syndromes are no more than sets of symptoms that can be collected together in a wide variety of different ways, but depending upon how they are grouped, distinguishable syndromes can be pointed to and named. This is a highly arbitrary process very much like fortune-telling using tea leaves, which depends on the pattern seen or imagined in the tea leaves at the bottom of a cup. During the past three decades, clinical psychology and its less formal cousin, counseling, have also undergone noticeable change. They have been the traditional sources of a large number of diverse approaches to psychotherapy and counseling. But in the past thirty years, the large number of approaches to psychotherapy and counseling has, in practical reality, shrunk considerably. This has been due to the rapid dominance and virtual monopoly that has been gained by cognitive-behavioral therapy, also known as rational-emotive therapy. Insurance companies have been attracted like flies to the sweetness of the comparatively brief treatment period touted by cognitive-behavioral therapy, and practitioners have similarly been attracted by the ease of using its one-size-fits-all approach. And so where the changes in psychiatry have been inflationary in its authorized catalogue of "mental disorders" known as the _DSM_ (_Diagnostic and Statistical Manual of Mental Disorders_), clinical psychology and counseling have been on a deflationary course that has progressively narrowed the treatment options available to many people.