““Given the considerable number of children who come to therapy begrudgingly, you might expect me to rejoice for those who come with bells on their toes. And sometimes I do. Experience has tempered my exuberance, however, since the speediest in are often also the speediest out. James, who had spent his second hour raving about his first, never came to the third or fourth. When a child too readily pleads for treatment every day or “forever,” I watch for signs of a premature desertion. The precipitant for quitting may be, not an underlying dislike of therapy, but the intolerable frustration over having so little of it.””