The place to begin our journey of understanding is not at the library. Nor is it at the desk, with clipboard in hand. It is on the phone when you rst say hello, or in the waiting room when you rst catch the patient’s eye. The place to begin is the relationship with our patient. Before we think about anything formally related to diagnosis, mapping, or formulation, we should remember that every contact holds relatedness, and relatedness is at the center of alliance. We should be mindful of this rst and above all else.