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Why So Many People Feel Lost Even After They Start Getting Better

Why So Many People Feel Lost Even After They Start Getting Better

As a clinician, I’ve noticed something that surprises many people.

The hardest chapter of recovery is not always the beginning.

Sometimes it’s what comes after.

Not the crisis.

Not the hospitalization.

Not the sleepless nights or overwhelming emotions that first brought someone into treatment.

It’s the season that follows.

The season when things are technically better.

The season when life is no longer falling apart.

The season when everyone around you assumes you’ve arrived.

And yet, inside, you still feel disconnected.

I’ve sat across from countless alumni who have told me some version of the same story.

“I should be happier than I am.”

“I thought things would feel different by now.”

“I don’t understand why I still feel stuck.”

These aren’t people in immediate danger.

These aren’t people who have given up.

These are people who worked hard to improve their mental health and expected that progress would automatically create fulfillment.

When it didn’t, many started wondering whether something was wrong with them.

The truth is much simpler.

Recovery changes over time.

And the skills that help you survive often aren’t the same skills that help you thrive.

For many people who continue building on the foundation established through DBT-focused mental health support, that realization becomes the beginning of an entirely new chapter.

The Hidden Challenge Nobody Talks About

Early recovery is incredibly clear.

You know what you’re fighting.

You’re trying to stabilize.

You’re trying to stay safe.

You’re trying to manage symptoms that feel overwhelming.

Every small victory matters because the alternative feels frightening.

Then something interesting happens.

Life becomes more stable.

The crisis eases.

The emotional intensity decreases.

The days become more predictable.

From the outside, it looks like success.

And it is.

But many people discover an uncomfortable truth:

Stability and fulfillment are not the same thing.

Being emotionally safer doesn’t automatically create purpose.

Reduced symptoms don’t instantly rebuild confidence.

Surviving difficult years doesn’t magically teach you how to enjoy life again.

That’s why some alumni feel confused.

They’re doing better.

But they aren’t necessarily living better.

Not yet.

When Survival Becomes A Habit

One thing I’ve observed over the years is that many people become incredibly skilled at survival.

They learn how to monitor warning signs.

They learn coping strategies.

They learn how to avoid situations that create unnecessary risk.

These skills are valuable.

They save lives.

But survival mode can become so familiar that people struggle to leave it behind.

Imagine living through a long winter.

For years, you’ve worn heavy coats, boots, and layers simply to stay warm.

Then spring arrives.

The weather changes.

But you keep wearing the same winter gear because it’s what you’re used to.

Many people approach recovery the same way.

The strategies that protected them during crisis continue long after the crisis has ended.

Hypervigilance remains.

Emotional avoidance remains.

Fear remains.

The danger may be gone, but the protective habits stay.

At some point, healing requires more than protection.

It requires participation.

Why Emotional Skills Matter Years Later

Some people assume emotional skills are only important during difficult periods.

In reality, they become even more important as life expands.

Think about what thriving actually requires.

Relationships.

Career growth.

Parenting.

Friendships.

Boundaries.

Conflict resolution.

Self-respect.

Trust.

Every one of those areas depends on emotional skills.

I’ve worked with people who were no longer overwhelmed by anxiety or depression but still struggled to communicate needs, tolerate disappointment, manage conflict, or recover from rejection.

These challenges didn’t mean treatment had failed.

They meant recovery was evolving.

A new set of skills was needed.

The focus was no longer on surviving emotions.

The focus became learning how to navigate life with them.

The Alumni Who Thrive Usually Share One Trait

They stop waiting for life to feel perfect.

This sounds simple.

It’s not.

Many people unknowingly postpone happiness.

They tell themselves:

“I’ll relax when everything is under control.”

“I’ll feel confident when I stop making mistakes.”

“I’ll trust myself when I’m completely healed.”

The problem is that those moments never arrive.

Life remains unpredictable.

Mistakes continue happening.

Difficult emotions still show up.

The people who experience the most meaningful growth learn to build a life alongside uncertainty instead of waiting for uncertainty to disappear.

That’s a powerful shift.

Instead of asking, “How do I eliminate discomfort?”

They begin asking, “How do I keep moving forward even when discomfort is present?”

That question changes everything.

Recovery Is Built In Ordinary Moments

When people imagine personal transformation, they often picture dramatic breakthroughs.

The reality is usually much quieter.

Recovery grows in ordinary moments.

The phone call you almost didn’t make.

The boundary you finally set.

The difficult conversation you stayed present for.

The mistake you forgave yourself for.

The day you asked for help instead of pretending everything was fine.

These moments rarely make headlines.

Yet they often matter more than the dramatic milestones.

I sometimes describe recovery as building a bridge.

Each choice is a single board.

One board doesn’t seem impressive.

But eventually those boards connect two completely different versions of your life.

The version that was merely surviving.

And the version that is finally moving forward.

Why Feeling Better Doesn't Always Feel Like Enough

The Relationship That Changes Everything

When people think about recovery, they often focus on relationships with family, friends, or partners.

Those relationships matter.

But there’s another relationship that often determines long-term success.

The relationship with yourself.

Many people enter treatment carrying years of self-criticism.

Every mistake becomes evidence.

Every setback becomes a verdict.

Every difficult emotion becomes something to judge.

I’ve watched people accomplish remarkable things while continuing to treat themselves with incredible harshness.

Eventually that approach becomes exhausting.

One of the most meaningful changes I see in long-term recovery is self-compassion.

Not self-pity.

Not avoiding responsibility.

Simply learning how to speak to yourself like someone worth helping.

For many people, that shift feels uncomfortable at first.

Then it becomes transformative.

Because it’s difficult to build a fulfilling life while constantly attacking the person living it.

Learning To Stay Instead Of Escape

One of the most powerful changes that occurs in long-term recovery is the ability to remain present during difficult experiences.

In the past, emotions may have triggered immediate reactions.

Withdrawal.

Anger.

Isolation.

Impulsive decisions.

Avoidance.

Over time, many people learn a different response.

They stay.

They stay in conversations.

They stay connected during conflict.

They stay present when anxiety appears.

They stay committed when situations become uncomfortable.

This ability creates enormous freedom.

Because life is not difficult due to emotions.

Life becomes difficult when every emotion forces an escape.

The people who thrive aren’t necessarily the people with fewer emotional challenges.

They’re often the people who have learned how to remain grounded when those challenges appear.

The Life Beyond Symptom Management

Eventually recovery becomes less about symptoms and more about identity.

Who are you now?

What matters to you?

What kind of relationships do you want?

What brings meaning to your life?

These questions often emerge years after treatment begins.

And they’re important.

Because recovery is not simply the absence of suffering.

It’s the presence of engagement.

Purpose.

Connection.

Growth.

Joy.

The ability to participate fully in your own life.

For many individuals seeking emotion regulation therapy MA residents often explore, these deeper goals become just as important as symptom reduction itself.

Not because symptoms don’t matter.

But because life becomes larger than managing them.

What I Hope Every Alumni Understands

If you’ve been feeling stuck lately, I want to tell you something I often tell alumni.

The fact that you’re no longer in crisis does not mean your growth is finished.

And feeling disconnected doesn’t erase the progress you’ve already made.

Sometimes the next stage of healing looks less dramatic than the first.

It’s not about survival anymore.

It’s about building.

Building trust.

Building relationships.

Building purpose.

Building a life that feels meaningful even when challenges arise.

That process takes time.

It takes patience.

And it often takes continued support.

For individuals exploring care in Raynham MA or looking at treatment options in Bristol County MA, ongoing mental health care can help transform recovery from something you maintain into something you truly live.

Because surviving is remarkable.

But thriving is where many people finally discover who they are beyond the struggle.

Frequently Asked Questions

Why do I feel stuck even though my mental health has improved?

Many people reach a point where symptoms are more manageable but still feel disconnected, unfulfilled, or uncertain about what’s next. This often reflects a new stage of recovery rather than a lack of progress.

Is it normal to continue working on emotional skills years after treatment?

Yes. Emotional growth is a lifelong process. Many people continue strengthening communication, resilience, self-awareness, and relationship skills long after initial treatment.

What is the difference between surviving and thriving?

Surviving focuses on safety, stability, and symptom management. Thriving involves building meaningful relationships, pursuing goals, developing confidence, and actively engaging in life.

Why do some people feel disconnected after recovery?

During crisis periods, most energy goes toward managing immediate challenges. Once stability returns, deeper questions about identity, purpose, and fulfillment often emerge.

Can DBT skills still help if I’m no longer in crisis?

Absolutely. Many DBT-based skills remain valuable throughout long-term recovery because they support emotional awareness, relationship health, stress management, and personal growth.

How do I know if I could benefit from additional support?

If you feel stuck, disconnected, emotionally overwhelmed, or unsure how to move forward despite previous progress, speaking with a mental health professional may help you identify the next steps.

Is it common for recovery to happen in stages?

Yes. Recovery rarely follows a straight line. Many people experience different phases focused on stabilization, healing, growth, and long-term fulfillment.

Call (774) 341-4502 or visit our DBT mental health services to learn more about our mental health, DBT services Raynham, MA.

*The stories shared in this blog are meant to illustrate personal experiences and offer hope. Unless otherwise stated, any first-person narratives are fictional or blended accounts of others’ personal experiences. Everyone’s journey is unique, and this post does not replace medical advice or guarantee outcomes. Please speak with a licensed provider for help.

Tom believes that meaningful change begins with feeling heard, respected, and genuinely understood. His therapeutic approach is grounded in compassion, authenticity, and trauma-informed care, creating a safe, supportive, and judgment-free environment where clients feel empowered to explore challenges, build resilience, and move toward lasting healing.

As a Licensed Alcohol and Drug Counselor II (LADC II), Tom has experience working with individuals facing a wide range of mental health and substance use concerns across multiple levels of care. He is passionate about helping clients recognize their strengths while developing practical tools to navigate life’s challenges with greater confidence, emotional awareness, and self-compassion. Tom views therapy as a collaborative partnership, tailoring his approach to meet each person’s unique experiences, goals, and values.

Currently pursuing a Master of Science in Clinical Mental Health Counseling at Bay Path University with a concentration in Trauma-Informed Care, Tom is committed to continually expanding his clinical knowledge and providing evidence-based, culturally responsive care. He has a particular passion for working with LGBTQ+ individuals, supporting men’s mental health, and helping adolescents and young adults navigate anxiety, depression, trauma, life transitions, and identity development.

Known for his calm presence, genuine empathy, and approachable style, Tom strives to foster meaningful therapeutic relationships built on trust, respect, and collaboration. He believes that healing occurs when individuals feel accepted for who they are while being encouraged to discover who they can become.

Outside of the therapy room, Tom enjoys spending time with family and friends, camping, weightlifting, and staying active. He believes that maintaining balance, practicing self-care, and prioritizing overall wellness enhances his ability to support others as they pursue healthier, more fulfilling lives.

Arielle is a compassionate mental health clinician who believes that meaningful change begins with feeling safe, heard, and genuinely understood. As a Licensed Certified Social Worker (LCSW), she is dedicated to creating a welcoming, collaborative therapeutic environment where clients feel empowered to explore their experiences, build on their strengths, and move toward lasting emotional wellness.

Arielle’s approach is rooted in authenticity, empathy, and trust. She believes the therapeutic relationship serves as the foundation for growth and strives to balance compassion with thoughtful accountability. By helping clients recognize patterns, deepen self-awareness, and develop practical coping strategies, she supports individuals in creating meaningful, sustainable change both inside and outside of the therapy room.

Working collaboratively with each client, Arielle tailors treatment to meet their unique needs, values, and goals. She has experience supporting individuals navigating anxiety, depression, stress, and major life transitions, meeting clients where they are while encouraging growth at a pace that feels both supportive and achievable. Her person-centered approach emphasizes resilience, self-compassion, and empowering clients to develop the confidence and skills needed to navigate life’s challenges.

Arielle earned her Master’s degree from Salem State University and completed her undergraduate education at The Pennsylvania State University. She is passionate about helping individuals discover their strengths, cultivate resilience, and create fulfilling lives built on hope, healing, and personal growth.

Jill is a dedicated behavioral health clinician who believes that healing begins when individuals feel truly seen, heard, and accepted for who they are. Since beginning her career in behavioral health in 2015, she has been honored to support children, adolescents, adults, and families through some of life’s most challenging moments. Her diverse clinical experience has reinforced her belief that meaningful and lasting change begins with genuine connection, compassion, and a therapeutic relationship built on trust.

Throughout her career, Jill has served in a variety of clinical roles, including high school intervention specialist, family specialist and outreach worker, program clinician in a children’s emergency residence, and Partial Hospitalization Program (PHP) clinician before joining Lion Heart Behavioral Health in 2026. These experiences have provided her with a broad understanding of the unique challenges individuals and families face across the lifespan while strengthening her commitment to providing personalized, client-centered care.

Jill earned her Master of Science in Psychology with dual specializations in Educational and Counseling Psychology from Capella University and her Bachelor of Science in Criminal Justice with a concentration in Forensic Psychology from Kaplan University. Her therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT), integrating evidence-based interventions with warmth, authenticity, and genuine curiosity about each client’s unique experiences.

Known for her compassionate and approachable style, Jill creates a welcoming, nonjudgmental environment where clients feel safe exploring challenges, identifying strengths, and developing practical skills to navigate life’s obstacles. She recognizes the courage it takes to seek support and considers it a privilege to walk alongside individuals as they build resilience, foster self-understanding, and work toward meaningful, lasting recovery.

Jill is passionate about helping every client leave therapy feeling empowered, supported, and hopeful. She believes that with the right support, meaningful change is always possible and is committed to helping individuals discover the confidence and resilience needed to create fulfilling, purpose-driven lives.

Kevin brings a unique combination of professional expertise, lived experience, and genuine compassion to his work as a therapist. Since beginning his own recovery journey in 2016, he has remained committed to helping others discover that lasting recovery is not only possible, but transformative. His personal experiences have shaped his deep understanding of addiction, resilience, and the courage it takes to create meaningful change.

Over the past seven years, Kevin has dedicated his career to working with individuals navigating substance use disorders and recovery. He earned his Licensed Alcohol and Drug Counselor II (LADC II) credential in 2024, further strengthening his clinical knowledge and commitment to evidence-based care. Clients appreciate Kevin’s authenticity, empathy, and ability to build trust through genuine connection. His approach is grounded in the belief that every individual possesses the strength and capacity for growth, regardless of where they are in their recovery journey.

Kevin’s work is driven by a passion for empowering others to rediscover hope, develop confidence, and build fulfilling lives in recovery. He recognizes that healing extends beyond sobriety and focuses on helping clients develop the tools, insight, and resilience needed for long-term success.

Outside of the therapy room, Kevin is a devoted husband, father, brother, son, and friend. He has also been deeply involved in music throughout his life, performing as a lead vocalist with local bands for more than 30 years. His love of music, combined with his personal and professional experiences, allows him to connect with people from all walks of life in an authentic and meaningful way.

Kevin believes that some of life’s greatest challenges can become the foundation for purpose, healing, and personal transformation. His warmth, humility, and unwavering commitment to those he serves make him a trusted guide for individuals seeking lasting recovery and a renewed sense of hope.

Nicole brings nearly a decade of experience in substance use disorder treatment, having worked across multiple levels of care since 2015. With a background in psychology and extensive experience supporting individuals throughout their recovery journeys, she has developed a compassionate, person-centered approach that recognizes there is no single path to healing. Nicole believes that every individual’s lived experience is unique and deserving of respect, understanding, and individualized care.

Throughout her career, Nicole has been dedicated to helping clients move beyond symptom management by exploring the underlying patterns that contribute to substance use. She works collaboratively with individuals to strengthen emotional regulation, develop effective coping strategies, and build the insight and resilience necessary to support long-term recovery. Her therapeutic approach considers the whole person, recognizing the powerful connection between thoughts, emotions, behaviors, relationships, and life experiences.

Known for her calm presence, genuine empathy, and ability to foster meaningful therapeutic relationships, Nicole creates a safe and supportive environment where clients feel empowered to explore challenges, celebrate progress, and embrace lasting change. She is passionate about helping individuals discover their strengths, restore hope, and build lives that reflect their values and recovery goals.

Nicole believes recovery is about more than achieving sobriety—it is about creating a fulfilling, balanced life built on self-awareness, resilience, and purpose. She is committed to walking alongside each client as they navigate the challenges of recovery while helping them develop the confidence and skills needed to sustain meaningful, lifelong change.

Emily is a Licensed Certified Social Worker (LCSW) dedicated to helping individuals navigate mental health challenges, substance use disorders, and the path toward lasting recovery. She earned her Master of Social Work, with a Certificate in Trauma Practice, from Simmons University in 2024 and has continued to expand her clinical expertise through advanced training in co-occurring disorders and evidence-based treatment. Emily completed a Substance Use Disorders Certificate in Assessment and Treatment Strategies with Teens and Adults through Bridgewater State University and is currently pursuing a Certificate in Substance Abuse Counseling at Bristol Community College to further strengthen her clinical knowledge and specialized skills.

Emily’s therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), integrating practical, evidence-based interventions with genuine compassion and collaboration. She works alongside clients to better understand the relationship between their thoughts, emotions, and behaviors while helping them develop healthier coping strategies, strengthen emotional regulation, and create meaningful, sustainable change. Emily believes that healing begins with feeling understood, and she is committed to creating a safe, supportive environment where every individual feels empowered to grow at their own pace.

Known for her warmth, authenticity, and positive energy, Emily quickly builds strong therapeutic relationships founded on trust, respect, and encouragement. She is passionate about helping clients recognize their strengths, overcome life’s challenges, and move toward lives that are aligned with their values and goals.

Outside of the therapy room, Emily is an accomplished lacrosse coach at both the club and collegiate levels. Having played competitively throughout high school and college, she enjoys mentoring athletes and helping them develop confidence, resilience, and leadership skills that extend far beyond the field. In her free time, Emily enjoys reading and creating diamond art, finding creativity and balance through these hobbies.

Emily believes that growth is possible for everyone and is honored to walk alongside clients as they build resilience, discover hope, and create lasting change.

Amanda Campbell, MSN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based psychiatric care to adults experiencing a wide range of mental health and co-occurring conditions. 

Amanda provides comprehensive psychiatric evaluations, medication management, and ongoing treatment planning as part of a multidisciplinary team. She believes in partnering with patients through shared decision-making, recognizing that each individual’s experiences, goals, and recovery journey are unique.

Amanda is committed to fostering a safe, supportive, and nonjudgmental therapeutic environment where patients feel heard and respected. She emphasizes evidence-based treatment, patient education, and practical strategies that empower individuals to build resilience, improve daily functioning, and achieve lasting mental wellness.

Nicole Hunter serves as Program Director with a leadership style rooted in authenticity, compassion, and lived experience. She has been in recovery from substance use for several years, and while recovery is the foundation of the life she has built, it is far more than something in her past—it continues to shape who she is, how she leads, and why she is so deeply passionate about helping others find their own path forward.

Nicole remembers what it felt like to walk into treatment, unsure of what life could look like on the other side. She also understands that recovery isn’t something we simply “graduate” from. Even years later, there are seasons when we need to reconnect with the tools, principles, and support that keep us grounded. Having experienced her own mental health challenges alongside recovery, she understands that healing is rarely one-dimensional. This perspective allows her to genuinely relate to individuals navigating both substance use and mental health, meeting them with empathy instead of judgment and hope instead of shame.

For Nicole, this work has never been just a career—it is deeply personal. Her passion comes from walking alongside people who are making one of the hardest and bravest decisions of their lives: choosing to rebuild. She believes there is something incredibly powerful about witnessing someone begin to believe in themselves again, often before they are able to see their own potential. Being trusted to share in that journey is something she never takes for granted.

Nicole believes every person deserves to feel seen, heard, and valued—not for who they might become someday, but for who they are the moment they walk through the door. No two clients are the same, and she is committed to ensuring treatment reflects the unique strengths, challenges, goals, and experiences of each individual. She believes healing happens through individualized care, genuine connection, and creating an environment where people feel safe enough to be honest and supported enough to grow.

Nicole’s clinical philosophy combines evidence-based practices with the belief that the therapeutic relationship itself is one of the most powerful tools for change. Throughout her years working in behavioral health across a variety of clinical and leadership roles, she has developed a flexible, person-centered approach that meets individuals where they are while empowering them to discover where they are capable of going. She celebrates every step forward, knowing that meaningful progress is often made through small, consistent victories rather than dramatic breakthroughs.

Whether she is supporting clients or leading the multidisciplinary team at the program, Nicole lives by the principle of unconditional positive regard. She believes people grow when they feel respected, challenged, supported, and genuinely believed in. She strives to create a culture where clients and staff alike feel empowered to learn, take healthy risks, and recognize their own strengths.

Above all, Nicole believes that recovery is possible, healing is possible, and that every person deserves individualized care, unwavering respect, and the opportunity to build a life they are proud of. Her goal is simple: to help create a space where people feel safe enough to be honest, supported enough to grow, and empowered enough to realize that lasting change is within reach.

Bill Abbate brings more than 16 years of experience in the substance use disorder field, along with over 17 years of sustained recovery, providing him with a unique combination of professional expertise and lived experience. Throughout his career, Bill has remained deeply committed to helping individuals and families discover hope, healing, and lasting recovery through compassionate, person-centered care.

Beginning his career as a Recovery Aide, Bill gained invaluable hands-on experience across the continuum of addiction treatment, developing a comprehensive understanding of the challenges individuals face at every stage of recovery. His dedication, leadership, and passion for serving others have guided his progression into his current role as Director of Patient & Family Services.

At Lion Heart Behavioral Health, Bill leads the Patient and Family Services Department, overseeing the Family Support and Recovery Coaching Program. He is responsible for developing and coordinating recovery coaching services, supporting and training family coaches, and ensuring patients and their loved ones receive consistent, evidence-informed care throughout the recovery process. Bill believes that lasting recovery extends beyond the individual and that empowering families is an essential component of long-term healing.

Bill holds credentials as a Licensed Alcohol and Drug Counselor II (LADC II), Certified Addiction Recovery Coach (CARC), and National Certified Peer Recovery Support Specialist (NCPRSS). His leadership style blends clinical best practices with the power of lived experience, allowing him to build authentic relationships while fostering resilience, accountability, and hope among both patients and staff.

Known for his warmth, authenticity, and unwavering commitment to the recovery community, Bill is passionate about helping individuals recognize that recovery is not only possible—it can become a foundation for a fulfilling and purpose-driven life.

Outside of his professional role, Bill remains actively involved in recovery communities and enjoys attending recovery-focused events across the country. When he’s not supporting others, he enjoys traveling, motorcycling, surfing, and snowboarding. He is also a proud father who values family, connection, and living a life rooted in gratitude and service.

From the beginning of her career, Liz Forgue-McRae has believed that the best leaders are coaches first.

Her passion for helping others began long before entering the counseling profession as a competitive swim coach and manager at the YMCA, where she coached and mentored nearly 200 swimmers. Known for her unwavering encouragement and enthusiasm, Liz spent years helping young athletes push beyond perceived limitations, celebrate accomplishments, and develop confidence both in and out of the water. That same philosophy continues to shape her leadership and clinical approach today.

Liz earned her Bachelor of Arts in Philosophy from the University of Massachusetts Dartmouth before completing her Master of Arts in Mental Health Counseling at Bridgewater State University. She is a Licensed Mental Health Counselor in both Massachusetts and Rhode Island and is a Certified Clinical Supervisor through the Massachusetts Mental Health Counselors Association (MAMHCA).

With more than a decade of experience across the behavioral healthcare continuum, Liz has provided leadership and clinical services within inpatient, outpatient, partial hospitalization (PHP), intensive outpatient (IOP), and community-based treatment settings. Her professional experience includes program development, clinical supervision, staff training, compliance and quality improvement, and multidisciplinary leadership.

Liz has extensive experience working with first responders, active-duty service members, veterans, healthcare professionals, and individuals navigating co-occurring mental health and substance use disorders. She is passionate about creating environments where individuals feel supported, empowered, and equipped to achieve lasting recovery and personal growth.

As Clinical Director, Liz is dedicated to fostering a culture of clinical excellence through compassionate leadership, evidence-based treatment, and meaningful collaboration. She believes exceptional care begins with exceptional teams and is committed to mentoring clinicians while ensuring every client receives high-quality, individualized treatment.

Whether leading a clinical team, developing innovative programming, or supporting individuals through life’s most difficult challenges, Liz remains guided by the same principle that first inspired her career: helping people recognize their strengths, overcome obstacles, and realize their full potential.