ABSTRACT

A therapist comes into her office in the morning and sits down at her desk with her morning coffee to review the day’s patient schedule. As she reviews the names and lists the case files to be pulled, she stops mid-sip. At noon that day she is seeing Alice. Alice, age 34, had been seen for almost a year at that point in therapy. She has met eight of nine criteria for borderline personality disorder (BPD). Her inner life, interpersonal relationships, family interactions, and stormy marriage each moved quickly to the top of her list of life crises throughout her therapy.