When I started working with Veronica, she was in her early fifties. She was single, had never been married, and didn’t have any kids. She had been in therapy for decades, but she wasn’t seeing much progress. She had carved out a competitive career on Wall Street over the past thirty years, and when I commented on her raspy voice in our first session she told me her vocal cords were exhausted from all the smoking and the shouting over the men she had to do for decades.