Of course they fought as lovers must do to find a liveable space.
Many patients cannot hear until they feel heard.
An argument can be made that relationship building is the treatment.
Above all, the clinician must not shake what little faith the patient has in himself.
Suffering brings the patient to us...the patient needs to feel heard and seen-that is, met, by another person.
The slow compromise, or even surrender, of our fondest hopes is a regular feature of normal human life.