In this article, Awad discusses an analysis in which he brought up the issue of termination after eight years, stating to the patient: “I think you have difficulty in accepting that time passes. You have spent nearly half your life in analysis and yet you are adamant about not changing. What is the point in continuing to come if you choose not to change—when even you admit that what you are doing is crazy? Talking about termination may signal to you that this is an analysis and that an analysis ends. I won't terminate unilaterally. I urge you to consider discussing termination and to try to make this a positive experience; however, it is up to you to do that” (p. 239).