Sam, a new patient, is a depressed teenager who's contemplating suicide as an answer to his inappropriate guilt and his own sense of worthlessness.
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Part of Sam's feelings of worthlessness come from an inapt comparison between himself and a sainted grandfather who's now dead.
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Sam describes how a piece of literature in a high school English class triggered a severe depressive episode.
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Sam had a conflicting job interview and called to cancel his session.
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Sam argues that his depression shouldn't be treated because it serves as evidence of his worthlessness and validates his desire to die.
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Sam's mother calls to cancel Sam's session.
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Sam's infected gums, which he might have intentionally aggravated, cause him to miss another therapy session.
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