Since I practiced in three distinct areas of the United States - the West, Midwest and South - I was fortunate to have a diverse group of patients. I treated rodeo riders, businessmen, real estate women, policemen, politicians, doctors, lawyers, artists, college professors, a drug dealer, a cowgirl, nurses, Navajos and a hooker. Some of my patients were rich, some were poor - I always had one gratis case. Some were old, some were young - occasionally I saw children. But whether sophisticated city-slickers or down-home country folk, they all shared at least one things in common: they had trouble in their minds." James T. Joyce is the author of Pucker Factor: 10: Memoir of a U.S. Army Helicopter Pilot in Vietnam, McFarland and Company, 2003. He has written hundreds of articles for newspapers including The Durango Herald, The Chicago Tribune and The Smoky Mountain News. A Chicago native, he now resides in North Carolina. He is the President of Green Mountain International, Inc.