ABSTRACT
Sarah first came to see me in 1988, when she was 33 years old. At the time, she was a professional woman working in research after having dropped out of the nursing field because of obsessive-compulsive anxieties over the possibility of making a mistake that might injure someone. She has continued in therapy with me now for several years and was diagnosed as having post-traumatic stress disorder and avoidant personality disorder (DSM IV, 1994).
