Neglect involves a deficit of receiving essential supplies, emotional, physical or material. The impact, often outside awareness, may include feeling of worthless; confusion about why; the exaggerated impulse to achieve worthiness by giving in the extreme; or to not need anything from anyone. Relationships lopsidedly often self-destruct, when the neglect survivor comes to resent their excess of generosity not being reciprocated, not realizing it was never requested, or desirable to the recipient. Some neglect survivors elaborate logical “trade agreements” which the hapless other party is not privy to. Often, they feel taken for granted or taken advantage of, and often they are. Becoming aware of unspoken “deals” and attempts to create beholden-ness and “buy” relationship may be humiliating or frightening. It may be the only way they have found to keep people in their lives, at least temporarily; and manage the fear that there is no other way to be in relationship. The inevitable arrival of resentment makes relationship unsustainable. Bringing these patterns into awareness, and working to create new ones, are vital tasks of therapy. Therapists must be mindful of these tendencies appearing in the therapeutic relationship, and address them delicately when they do.