The referring person tells me "She is a 22 year-old cum laude college grad with no goals and no direction. She was just a diligent student. No stem classes. She is living at home, and terrified by the big world. She is shy and not overly-attractive. Self-involved, alternating between self-loathing and mild grandiosity. Very supportive family. Despite her college grades, she seems to lack some basic life skills so her low self-esteem seems justified to me. I think you would be a good fit for her if you can engage her. Self-pitying but not depressed, not psychotic."
OK. I'll do a consultation. This sad story is in my wheelhouse, and I have seen it many times.