Terminal ambivalence – the state of being stuck or being unable to commit to a course of action or to follow through on our decisions – is a remarkably common consequence of complex trauma. Clients say that they want to make progress, but then feel conflicted or end up sabotaging any progress they make. Very often, the therapeutic work stalls and both therapist and client can feel stuck, powerless and without hope. This course explains why this happens, why it's a direct consequence of trauma, and – perhaps most importantly – what can be done about it.