The content of this paper reflects the title but it expands upon the technical issues encountered right from the beginning of the assessment. These technical difficulties include the management of physical pain during sessions and the request by the patient for physical interventions as well as contact. The problem of discrimination in the setting is discussed: therapist and patient had to make do with a medical room with no windows. The question of how ending can be possible in the context of a patient's intense desire for the therapy to continue is also explored. (Contains 1 note.)