Through a personal account of the first year-and-a-half of conducting psychotherapy with a patient with borderline and narcissistic features, the author argues that current trainees in psychotherapy might be in a state of “choice overload,” i.e., having too many choices of theoretical and clinical approaches. It is argued that this overload, although at times helpful, is mostly confusing and detrimental, and that it covers the most basic fear of therapists in training: the fear of doing nothing. The importance of achieving a theoretical core to guide treatment and the difficulty of doing so in the current training climate, as experienced by the author, are discussed.