Abstract

is a psychiatrist in private practice. She has treated a patient named Ann, a woman with borderline personality disorder, for more than 1 year. Ann’s condition has recently worsened. After their latest session, Dr. D received a text message on her cell phone from Ann stating that the session was useless and that she feels worse. Unsure of how to respond and, if so, in what way, Dr D. decides she will address the issue at their next meeting.

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