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Even after I earned my license and went into private practice, my colleagues sent me such cases. This client attached very quickly; when I took a planned break for vacation, he found the abandonment intolerable and terminated. The client with borderline personality disorder symptoms may also become hostile right at the outset, since intolerable anger and hatred are often core issues. One such client came for an early session and when I said something that felt to her like a narcissistic injury, she began to scream and continued to scream at me for the rest of the hour. She left a very polite phone message the following day, informing me that she had decided to seek treatment elsewhere.

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