"The most important thing really is self-knowledge — recognizing patterns and understanding what lies beneath," says Saltz. "We're often living an old story of something that happened long ago." To break the repetition, step out of the story to review it from an outsider's perspective. Give yourself a reality-check to find the root of the problem. And remember, the best vantage point can often be found on the therapist's couch, where you can get help re-evaluating the situation.