How does the health care system condition how we see our mental health treatment and diagnoses? In this interview—an excerpt from a much longer conversation—I talk with Samantha Dellosso, a social worker, health administrator, and friend of forty years. She and I discuss Medicaid in the U.S., viewing personality disorders along a spectrum, and how adverse childhood experiences (ACEs) don’t necessarily determine who we turn out to be. Alexander Kriss, Borderline: The Biography of a Personality Disorder Bessel van der Kolk, The Body Keeps the Score