How it works

A card can offer the first words

When you don't know where to start, a few well-chosen words can help you recognize what's happening, think about what matters, and decide what — if anything — to do next.
Scenario card: I Don't Know How to AskScenario card: I Don't Know How to Ask, front

01 · The starting point

It's hard to answer “How are you, really?”

Many people struggle to name what they feel, or freeze when someone asks a direct question. That's especially true when roles are changing — a spouse becoming a caregiver, a parent needing help, a person learning to accept it.

A card offers language you can recognize, consider, accept or reject. “That's me.” “Not quite.” “Not today.” Each of those is a useful answer, and each is yours to give.

02 · Why cards

A familiar, low-pressure format

Choosing a card, holding it, reading it and setting it beside others gives you something concrete to do with your hands while your thoughts catch up. Most of us have played cards for years — the format feels approachable before the subject does.

The familiar format is meant to lower pressure and reluctance. There's no competition, no winning and no right answer.

03 · Discovery before solutions

Scenario, then Pattern, then Growth

Recognizing a feeling or concern makes it possible to look at what's underneath it — and only then to consider an answer or next step that fits your own circumstances.
Scenario card: The Night Never Ends. What happens to you when rest is no longer predictable?Scenario card: The Night Never Ends. You have been interrupted several times during the night. Morning arrives, and the responsibilities begin again as if you had slept normally.

Scenario

Names a moment you may recognize.

Pattern card: Always On. “If I stop paying attention, something bad may happen.”Pattern card: Always On. Your body remains alert even when nothing urgent is happening. Rest can feel unsafe because you might be needed at any moment.

Pattern

Describes what may be going on underneath.

Growth card: Create an Off-Duty Moment. What would make ten genuinely protected minutes possible?Growth card: Create an Off-Duty Moment. Identify one brief period when you are not monitoring, planning or solving. Arrange coverage when necessary and let your nervous system practice being off duty.

Growth

Offers one small, practical step to try.

Ashinee Reynolds, LMFT

Cards are written with clinical input from our co-founder, Ashinee Reynolds, LMFT.

Founder/Director of Clinical Strategy & Innovation

The Discovery First model

The missing first step

Before people can get the right support, they often need help recognizing, expressing and acting on what they're experiencing.
  1. 1

    Discover

    what is really happening.

  2. 2

    Express

    what you are feeling.

  3. 3

    Connect

    with the right people and resources.

  4. 4

    Practice

    constructive actions and conversations.

  5. 5

    Refer

    to professional support when appropriate — with more awareness and clearer words.

The Change Between Us is not a therapeutic platform. It's a set of tools to assist individuals and the professionals who support them.

04 · Ways to take part

Your pace, your choice

You can stop, skip a card, or keep a card to yourself at any point. Not sharing is always an option.

Private reflection

Read a card on your own and notice what fits. No one else needs to see it.

Preparing for a conversation

Use a card to sort out what you want to say before you say it.

A shared conversation

Lay a card on the table with a spouse, parent, adult child or friend and let it open the topic.

With a professional

Bring a card to a counselor, care manager or therapist as a starting point.

05 · Designed for older adults

Simple to hold, simple to start

scenario cardpattern cardgrowth card
  • A tangible format. Printed cards with large, clear type. Nothing to download or log in to.
  • Clear instructions. Choose a card, read it, consider the question. That's all.
  • Personal choice. You decide which cards to pick up, which to put down and who, if anyone, to share with.
  • A voice for everyone. Receiving care doesn't remove a person's voice or agency. The approach is meant to make room for both people's feelings and choices.