I. The Consultation 1. First Contact 2. The First Moments 3. Initiating an Alliance and Assessing Safety 4. Enhancing the Therapeutic Alliance and Eliciting History 5. Collecting a Psychosocial History and Screening for Common Psychological Disorders 6. Formulating a Treatment Plan II. Frame and Variations 7. The Frame 8. Setting the Fee and Billing 9. Telephone Calls: From Dependencies to Emergencies 10. No-Shows, Late Arrivals, and Late Departures 11. Confidentiality and Its Limits III. Chemistry 12. Substance Abuse 13. Integrating Psychopharmacology with Psychotherapy IV. Therapeutic Dilemmas 14. Management of Impasses 15. Empathic Lapses 16. Transference and Countertransference 17. Termination