My association with Merrill Littleberry began in March of this year after undergoing gastric by-pass surgery. She is very insightful and provides the tools to be successful with the psychological problems that accompanies the surgery. She is continually educating herself about pre-op and post-op surgery. I find her to be most effective in communicating the dynamics of emotional healing and the process of changing distorted thinking. I would recommend her heartily to anyone who is considering surgery or has undergone the surgery. She is totally accepting and most of all she is totally committed to providing an environment for change and healing.