This 28 minutes videos underline the technical approach to managing affect storms in sessions. The dialogue between the therapist (T) and the patient (P) reveals the patient’s deep-seated feelings of paranoia, anger, and mistrust towards the therapist and the treatment process. The patient feels misunderstood and believes the therapist is rigid and clinical, lacking genuine empathy. The patient struggles with feelings of humiliation and frustration, often reacting with hostility. Despite the therapist’s attempts to understand and address these feelings, the patient remains resistant and skeptical, highlighting the challenges in their therapeutic relationship. The conversation underscores the patient’s internal conflict and the difficulty in establishing trust and effective communication