Carmela Soprano: [Participating in Tony's therapy session for the first time] how are you feeling, from your accident?
Dr. Jennifer Melfi: Fine, thank you
Carmela Soprano: Honestly, if you told me five years ago I'd be sitting here today
Dr. Jennifer Melfi: Anthony's attacks, how do they make you feel?
Carmela Soprano: Concerned of course, helpless, a little frustrated
Dr. Jennifer Melfi: Maybe with your inability to help him?
Carmela Soprano: To tell you the truth I was referring to your inability to help him
Tony Soprano: She has helped me, what're you talking about?
Carmela Soprano: You've been coming here for three years Tony and you still pass out on a regular basis
Dr. Jennifer Melfi: [to Carmela] I understand your frustration. Did Anthony share with you any insights about his last panic attack?
Tony Soprano: I told you remember? The gabagool and my mother when I was a little kid
Carmela Soprano: Right, yes
Dr. Jennifer Melfi: Do you think that there's anything in the present family "dynamic" that could serve as a trigger? Something in your dialog perhaps?
Carmela Soprano: Excuse me?
Dr. Jennifer Melfi: I don't really know you that well, we're trying to get to root causes
Tony Soprano: Like maybe you do things that may have some affect on me?
Carmela Soprano: Oh, really?
Tony Soprano: What? People affect each other in life
Carmela Soprano: [to Dr. Melfi] oh I get it, is this how it works? You can't get any answers so you start looking for someone else to point the finger at?
Tony Soprano: She's not saying anything, why are you getting so defensive?
Carmela Soprano: You know what Tony? Maybe you should "explore" your own behavior, maybe you pass out because you're guilty over something. Maybe because of the fact that you stick your dick into anything with a pulse, you ever "explore" that as a root cause?
Tony Soprano: [Sarcastically] very nice, that's very nice
Carmela Soprano: Uh-huh
Tony Soprano: [to Carmela] I told you months ago I broke it off with that Russian person
Tony Soprano: [to Dr. Melfi] right?
Dr. Jennifer Melfi: [Remains silent]
Carmela Soprano: It's incredible, it's like people who smoke their entire lives then they sue the cigarette companies when they get cancer
Tony Soprano: [Faces away from her] you know, you agreed to come here, oh forget it, this is fuckin ridiculous
Carmela Soprano: Right, just sit there, silence, anger, then you pass out and then you blame the rest of the world
Tony Soprano: [Sarcastically] yeah I love you too
Dr. Jennifer Melfi: You're both very angry.