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The main reason why it is so difficult is simple: If You know How a Course will Benefit You; You probably Don't Need to Do that Course
When someone suffers from chronic stress or the ongoing trauma from a negative life changing event, it is very physically exhausting.
If you imagine your body continuously in a fight or flight response state then it should become obvious that this will quickly drain your physical and emotional resources.
It takes so much energy that our bodies simply cannot maintain this level of alertness indefinitely.