Hi Susan, In our office we have social workers and vocational rehabiliation counselors who help our customers with the adjustment. I do on occassion also help with it, as I am usually one of the ones the customers eee on a regular basis while we are working through the plan and instruction. Sometimes people are not read for Rehab that the adjustment hasn't come far enough a long to be ready to embrace other ways of thinking and doing, even if it might be safer, quicker or easier. We do have some programs we call them "Jump start" I call it group class, and this sometimes does help. Sometimes seeing a psychiatrist is also helpful. I have run into some customers who I have had to wait on for them to be ready to try a new form of technique. But good questions. I also agree with the other people's comments that adjustment can take a short ammount of time, or be repeated over and over depending on if it is a gradual loss. Mine is a gradual loss from RP. Shelley L. Rhodes, M.A. CVRT and Ludden black Labrador Guide Dog. The cure for anything is salt water -- sweat, tears, or the sea. -Isak Dinesen (pen name of Karen Blixen), author (1885-1962) ----- Original Message ----- From: Susan-Marie To: visionrehabtherapist@xxxxxxxxxxxxx Sent: Friday, August 23, 2013 9:44 AM Subject: [visionrehabtherapist] Adjustment To Blindness Question Hi Everyone! Sorry for more questions out of left field. Can any of you tell me your opinions regarding services for clients/consumers making the psychological and emotional transition from being sighted to life as a partially-sighted or blind person? I am aware of the mini-adjustments, (many lasting about 5 days and varying from state to state), but can any of you give your opinions about how you feel the transition is being addressed in general? Also, have you ever felt that the individual is not quite ready for services because he/she may be struggling with adjustments to the new lifestyle? If I am not clear in what I'm asking, please let me know. Also, please feel free to answer me off-list. Thanks so much in advance for your responses and have a great weekend! Best, Susan-Marie