I sit across from the Washington elite. I work to access their thoughts and dreams as they evolve in the therapeutic relationship. It can look like a one-sided process, but it most certainly is not. When it goes well, my clients pour their pain into the space I provide. Because this year marks two decades of continuous practice for me, I find myself reflecting on the deeper nature of these relationships. What is the stuff of therapy? Who am I to them? Who am I really in this space? I suppose these are standard twenty-year questions for any clinician.