In section 1, the author describes the concept of coping strategies therapy. For example, in dose 1 of therapy, the patient is in the action stage of readiness for treatment, is using the coping strategy of problem engagement, and may need only one or two sessions of cognitive behavior therapy; the patient may be able to self-administer cognitive behavior therapy. Patients who require dose 2 are likely to be in the preparation stage of readiness for treatment, are engaged with the problem, and will probably benefit from 10 to 15 sessions of individual or group cognitive behavior therapy. Patients who require experiential processes before they can use active behavioral interventions require dose 3 of treatment, usually requiring about 20 sessions. Patients needing dose 3 are usually in the precontemplation phase of readiness for treatment and benefit from therapies that focus on self-esteem and interpersonal concerns; these patients often have some pervasive personality problems or trauma-related difficulties. Patients who are unable to form satisfactory attachments need to learn how to form a satisfactory relationship with the therapist in dose 4; this usually requires 50–100 or more sessions. Many of the principles of psychoanalysis are important in this dose of treatment, including analysis of the transference and recognition of countertransference issues. Patients requiring dose 4 are usually in the precontemplation phase of readiness for treatment.