We carved the schedule to fit her needs, sometimes at 5:30am or 7:00pm, weekends. Somehow we made it work in order to be consistent and helped her stay accountable. In order to save time, I suggested virtual visits, which was the most realistic for her and a huge time saver. She could meet me first thing in the morning, exercise, share her daily food diary, jump in the shower and head out for the day.
The end results were staggering. She successfully graduated with a medical degree and had the wedding of her dreams.