True happiness is akin to achieving enlightenment. It takes years to even realize what happiness actually means, and I guess it's something different for every person. Then you have to care enough to pursue your definition of happiness, which includes overcoming a lot of fears.
The flow chart is pretty spot on though. I think it's sort of implied that 'change something' starts the cycle over again.
![Are You Happy? Flowchart - I'm printing this out [JPG]](http://www.typcut.com/wp-content/uploads/2009/08/Areyouhappy_a2_web_1024-600x848.jpg){kind=link}