It was getting near the end of our fifth counseling session and I still hadn't made any headway against his delusions. This was definitely one of my more difficult cases. Every time I thought we were finally getting somewhere he would dig in his heels and I'd run smack into the brick wall of his denial. I sighed, and started again, “Look, we all have feelings, a sense of who we are in the world. But simply feeling like you are something doesn't make you that...”