Finally got my copy of DR back from a friend and looked at the section on Why Nothing Changes - I believe in my sitch there are two reasions I feel that nothing is changing -
1. You haven't given a method sufficient time to work before trying something else - This is where I need to really be patient and
2. You're overlooking the small signs of change This is where I need to review my journal and take note of the small changes (and there are some) after all - in the Shawshank Redemption it took years to get through that wall with his small hammer.