In this rich episode, Rachael grapples with a variety of complex nuanced issues such as an unexpected ending and the feat of balancing the therapist's self interest with the patient’s interest in a number of domains, including payment. Also on the table were inner conflicts around masochism and self care and the potential risks and rewards of playfulness and creativity and the inherent pleasures and perils that they engender.

At the end of the session, Rachael and Gill concluded that whatever side we finally land on in the resolution of inner conflict, it is essential to own the outcome and to stay authentic and transparent.