MBM,

Please get over these billing issues. You're really freaking out. It's not the end of the world. Like I said, I get final say in what happens, so if there's a big issue on my biller's end, I'll have the authority to fix it. Breathe.

And WOW, where did that crisis come from?! I went away to vaca for a week for Christmas [Oh yes, you corrected me, 2.5 weeks] and come back and you're a complete wreck having disappeared into apathy, saying you never want to come to therapy again - and you're even talking about the "therapeutic relationship" in those words, casually? More than anything else, that shows just how much you lack feeling about therapy or this relationship right now.

Good heavens, your illness is one of the most difficult I treat. I have no idea what to do here with you telling me that during the 2.5 weeks you "severed our relationship". What? Who can do that with their mind, can in a moment choose to cut a relationship and have it actually work?

The things you ask me to do - to somehow fix this?

Yes, you're a challenge to treat, that's for sure.