12 sessions of personal, insight-oriented counseling were conducted by a female psychologist with a female undergraduate with a dominating, melodramatic communication style. The client's presenting problems were difficulties with her boyfriend and family, anxiety, and headaches. The counselor's style was interpretive, confrontive, and experiential within the context of a safe, supportive, therapeutic atmosphere. Process measures indicated that the client increased amount of experiencing and insight and decreased amount of time spent describing her problems both within and across sessions. Mechanisms of change seemed to be interpretations, direct feedback, gestalt exercises, and discussion of the counselor–client relationship, following the establishment of rapport and support. Client's scores on the Hopkins Symptom Checklist and Tennessee Self-Concept Scale showed that treatment had resulted in an improvement that was maintained at 2 mo, but the client had relapsed at a 7-mo follow-up. Process analyses suggested that relapse occurred because counseling was too brief, not allowing enough time for the client to incorporate changes. (46 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)