Jim came into therapy because he was feeling “stuck” in his life. When he strode into my office for the first time, grabbed my hand, and pumped it a few times. He seemed like he was in a hurry to catch a bus. But despite his energetic demeanor and polished appearance, Jim was deeply unhappy. Forty-one years old and divorced, Jim had two children from his previous marriage. He felt that he was in a dead-end job in finance. He was also unhappy with his ability to have deep, enduring positive relationships with women and peers. In the first two minutes of our initial session, as I went briefly over what I do and how I do it, Jim interrupted me. “That’s really good,” he said, “but here is what I want to talk to you about.”