Sam, a bright young man in his early thirties, came to see me because he felt abandoned by his identical twin brother Ryan. My patient was distraught because Ryan had changed so drastically since he started to see a psychotherapist. Sam had believed unequivocally that he and Ryan were destined to work together as singers, actors, and performers. Sam had organized his entire professional life on the assumption that he and his brother would be an artistic collaborative team. However, […]

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