When an outcome isn't changing, the presenting problem may not be the whole problem.

Chisto had been evaluated by a qualified veterinarian before this work began.

Connected Energy® Method™ does not replace appropriate veterinary care. It provides another level of observation by looking at the broader conditions that may be participating in an animal's behavior, regulation, recovery, health, or performance.

An animal is a system in its own right. Physical condition, physiology, environment, history, workload, recovery, relationships, and other circumstances may interact in ways that are not fully represented by the presenting problem alone. 

CEM approaches those circumstances with the same foundational question used throughout the method: 

What structure is producing the outcome?