Life transitions occur at every stage of life, from youth through old age. Life’s impermanence is recognized, yet not recognized. It often takes us by surprise and throws us off our stride. While we are usually able to negotiate these transitions by ourselves, sometimes these situations overwhelm us and we need help to get through them. Graduation from high school or college, marriage, divorce, moving to a new area, health problems, and getting older are just a few of these life transitions. In her 27 years of practice, Dr. Firestein has helped many individuals, couples, and families though these transitions as well as navigating many of these herself. There is no shame in asking for help at times of significant life change.