Ben found some relaxation techniques for Madeleine to try and suggested that she contact her GP to discuss these and any further help that might be available. They also discussed the 2 day Stepping Stones GOALS course and Madeleine was keen to attend. In the weeks leading up to the course, Madeleine’s speech improved slightly and she said that the relaxation techniques and some books she had found were helping. Madeleine attended Goals and Ben met with her about a week later. Normally, they would go into a private room to talk, but on this occasion, Madeleine arrived at Ben’s desk and started chatting. When Ben commented on the noticeable improvement in her speech, she said that since attending Goals, she felt that her confidence had greatly increased and that she would not need to go into a private room. Madeleine said that she had enjoyed that course very much and she was surprised by her ability to make a very positive impression on the other course members even though she was with them for such a short time. One activity in particular, ‘The Wheel’, had challenged the way she saw herself. She discovered that others had found her intelligent, friendly and attractive, things she would not normally describe herself as being. Ben was a little surprised by the dramatic change in Madeleine’s outlook, but was delighted to see the positive impact that Goals had helped to achieve in just two days.