The chapter is presented as a transcript of session 179 between Adrienne Hale and EJ. EJ arrives on short notice and quickly turns the appointment into a power play, claiming that he injured his knee while running because Adrienne had advised him to be more active. Adrienne responds cautiously, but EJ’s tone makes clear that he is not seeking normal medical guidance.

EJ says his pain is severe and asks Adrienne to prescribe oxycodone, specifying that he wants thirty 10 mg tablets. Adrienne explains that she is a psychiatrist, not a doctor who treats orthopedic injuries, and tells EJ to see a primary care physician or urgent care instead. She also states that narcotics are controlled substances and that prescribing them could get her into serious trouble.

Rather than back down, EJ dismisses Adrienne’s objections and reframes the situation as something she owes him because the run was her suggestion. When Adrienne still resists, EJ escalates to direct blackmail by reminding her that he has a video of her slashing someone’s tires. That threat shifts the conversation from an improper request to coercion, because Adrienne now understands that refusing him could expose her and jeopardize her license and reputation.

Under pressure, Adrienne tries to limit the damage by offering twenty 5 mg tablets instead of EJ’s original demand. EJ continues bargaining until he gets thirty 5 mg tablets, and Adrienne finally agrees, while insisting that this is the only time. EJ mockingly accepts and jokes that he will not ask again unless he injures his knee again, ending the session with his control over Adrienne more firmly established.