This narrative traces the development of a relationship between a family physician and a challenging patient who undergoes a cerebro-vascular accident following severe eclampsia. The story describes the patient’s complicated relations with her husband, her community, the medical system, and the newborn whom she unconsciously blames for her situation. The slow painful process of developing trust in the therapeutic relationship over nearly 2 decades enables the patient to eventually reflect on herself and consider forgiveness. All identifying information regarding the case was changed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)