The patient explained that after her partner changed jobs, she notice a change in behavior of her cat. She now felt she was losing her love, which was the reason for her suicidal thoughts. Having had a childhood of abusive attachments, her relationship with her partner was by far the most important thing in her life. And that would be the end of it for the cat.” You would press your neck to stop any bleeding and go to the hospital. If you felt a bite it would immediately wake you up. But your cat needs to be quite sure where your jugular is before attacking you. I said, “So you are not sure where your jugular is. She said the cat planned to attack her while she was sleeping.

The problem of locating her jugular was made more difficult by her being at least 30 pounds overweight, likely from her medication. I said, “Where is your jugular?” She pointed to her neck and said, “It’s here.” I inquired further, “But where precisely is it?” She said, “I don’t know exactly, but it’s in the neck,” again pointing to her throat. I said, “So your cat intends to bite your jugular?” She said yes. “Haven’t you seen it on TV, on the safari movies? They bite the jugular.” She was clearly referring to video footage of lions and cheetahs subduing prey. She said dismissively, as though she regarded me as naïve, “They bite the jugular!' I asked what she meant. I asked the patient how the cat planned to kill her. Using standard CBTp techniques I explored the details of her delusional belief.

Keep the aspidistra flying meaning