When she first meets with Dr. Berman, she tells her she'd like to be in a relationship, but she can't accept that anyone would want to be with her. Recently, she says there was a man who seemed interested, but she blew him off because she got scared.
Dr. Berman: What's the worst thing that can happen?
Carmen: The worst thing that can happen is that we get to the point where we're, you know...
Dr. Berman: Where you're what?
Carmen: We're about to have sex basically.
Dr. Berman: Okay.
Carmen: And I'll have to be naked and ... it would just turn him off. Like he would scream, "Oh my God, that's disgusting." Then just kind of leave.
Dr. Berman: Would you feel any worse than you feel now?
Carmen: I think I would. Worst case, yeah, if I grew the nerve to actually get to that point and then someone were to just reject me.
Dr. Berman: So your fear—both of those fears—end up in the same place. Where you're alone.
Dr. Berman: And that seems really scary and sad to you. ... What are you feeling?
Carmen: I just feel hopeless—like it doesn't matter. Like sometimes I think, "Why bother?"