While Madenes talks about the benefits of altruism, gratitude and satisfying relationships, it is her sarcasm and lack of empathy for those who can’t so easily be transformed by the Robbins-Madanes approach that enraged people. The reality is that we human beings can sometimes become so trapped by overwhelmingly oppressive forces—financial, interpersonal, and otherwise—that lecturing us into behaving more joyfully only creates more pain. This leads to the first of 10 Ways Mental Health Professionals Increase Misery in Suffering People: