Traditional psychotherapy entails the notion that therapeutic dialogue between the client and the therapist in some ways get internalized in client’s mind in ways that allows the client to change one’s thinking and behavior outside the therapy situations. While this may be true for many who have the capacity to internalize such experiential encounters, by demonstrating their capacity for “adaptive behaviors” in their daily lives, and by engaging in activities such as work, family, recreation, hobbies, and other mind stimulation activities, but for many having persistent and long-term psychological problems who are continually “pre-occupied with their problems, and show varying degree of deficient adaptive functioning, this capacity for internalization and capacity to translate them into thinking and behavior change from therapeutic encounters to outside the sessions may be severely compromised, unless therapeutic prompts are provided in their milieu environment. Awareness of social environment, practice of mind stimulation activities in one’s daily life,(through work of any kind, recreation, hobbies, family and social interactions, practice of spiritual faith, etc.) and capacity for reflective thinking and for openness of mind to incorporate feedback are some of the elements of our adaptive behavior strategies that we all employ in our daily lives. When this capacity is compromised, the ability to internalize from therapeutic encounters to effect changes in one’s behavior and thinking outside the the therapy session may also be impaired, limiting the positive generalization effect. Success of any psychotherapy endeavors, including mind stimulation therapy, must in some ways, ensure that therapeutic prompts are built into one’s social and therapeutic milieu, requiring active collaboration with “significant other people,” and the milieu environment of the client to effect enduring positive change and to maximize effect of any therapeutic encounters for people with long-term and persistent psychological problems..