Our 4-step approach is organized according to the biopsychosocial model. With this model, we examine abnormal biology that causes abnormal thoughts, emotions, or behaviors. Once there is the resolution of biological issues like insomnia, anxiety (fight or flight), restlessness, poor concentration, etc., we then move to abnormal thoughts, particularly the inability to recognize what might be happening, like work, interpersonal stress, or other past factors still affecting you. Therapy like CBT or other styles of psychotherapy has a major impact on daily and future functioning. Optimal social functioning is achieved with normal biological and psychological functioning, creating realized goals and meaningful relationships.