Changes in Cognitive-Affective Balance, Life Balance, Depression, Anxiety, Self-Forgiveness, Psychological Flexibility, Valuing, Well-being, Spiritual Awakening, the Working Alliance, and Outcome in PsychotherapyA Case Study (20 sessions)By Philip Friedman, Ph.D IntroductionThis article demonstrates that the major change ingredients during psychotherapy over 20 sessions are cognitive-affective balance and life balance.  MethodsThis practice-based evidence approach demonstrates how to measure change,