Self-Injury: A Dream

Adrienne said she’s having difficulty holding to our agreement that she reach out to me before cutting herself. The drive to self-injury feels “insatiable,” as she put it. She then…



The Bipolar Dynamic

In our last session, I felt a moment of clarity when some of David’s central issues came into focus and the bipolar dynamic became clear. Since we began working together…



The Agony of Rage

After mentioning the sadness she felt over the break, about the damage she might have done to her therapy with those angry, accusatory emails she sent me, Sarah asked me…



Separation Issues

As Melissa continues to separate from me, her anger at having to think for and look after herself has begun to surface. She related a short dream – that the…