What I found so fascinating is that she had people in her life, at various points, trying so very hard to help her make a change, but she could always work around it. It was a truly convincing illustration of how all of us are ultimately responsible for the changes in our own lives - no one else (externally) can MAKE us change. We simply have to decide for ourselves when we want to change, whether it is decide to see medical help, or lose weight, or start exercising, or quit smoking.