The chapter is presented as a transcript of session 138 between psychiatrist Adrienne Hale and EJ, who has returned to therapy after blackmailing Adrienne into taking him back. EJ opens by pretending to be appreciative, but Adrienne immediately makes clear that she did not resume treatment willingly.

Adrienne tries to steer the session toward practical goals by asking EJ about work and independence. EJ dismisses the need for a job because he expects to inherit his parents’ money, then drifts into a disturbing hypothetical about his elderly parents dying in a car crash and the possibility of brake failure. Adrienne reacts with alarm because EJ’s comments sound like a veiled suggestion of sabotaging them, and EJ backs off just enough to deny direct intent.

EJ then claims he has a plan to make money by going to Foxwoods casino for the weekend. Adrienne questions whether gambling is a real solution, but EJ boasts about his poker skills and says he also expects to find a woman there for sex. His comments shift the session from evasive grandiosity into open sexual provocation.

When EJ invites Adrienne to join him, Adrienne refuses twice. EJ ignores the boundary and insists on describing a sexual fantasy anyway, arguing that because it is his therapy session, he should control the topic. Adrienne again says the sessions are not productive and offers to transfer him to another therapist at her own expense.

EJ rejects the referral outright. When Adrienne asks why, EJ drops any pretense that therapy is about treatment and answers with a direct, possessive motive: he wants Adrienne herself. The exchange makes clear that EJ’s fixation on Adrienne is intensifying and that the therapeutic relationship has become unsafe.