A very active woman came to my office complaing of strong shoulder pain which greatly impacted her sleep. She streesed the level of pain with most movements, and how being irritated each morning after a poor nights rest left her struggling to focus.  Pain. Sleep. Focus.  We talked about her real estate work and, while driving could be very uncomfortable, she revealed that a dog rescue business she volunteered for was suffering because of her absence for the past month. She said the rescue work, now that she was an empty-nester, was her off hours outlet to contribute and feel her value to the community.  It sounded like the volunteering was at least as important as her job.  I saw that her full strength recovery - not just a quick partial fix - was her real need and passion.