Alma phoned me, introduced herself, and started crying. She said that she had been referred to me because a terrible thing had happened. As I would later learn, we were about to deal with a wordless breakdown; a patient preoccupied with an object's “death” and her own destructive power. Using a relational perspective, this article will address concepts of separation and loss related to insecure attachment. We will focus on the emotional engulfment and anxiety associated with abandonment and loss as they arise in the therapeutic relationship. Fantasies related to the destructive power of need will be explored, including the fantasy of weaning from the object as from drugs, food, or alcohol, the confusion between murder and abandonment—the former stemming not from hatred but rather from love—and this confusion as expressed in the therapeutic dyad. The article concludes with the patient's response to her case presentation.