The article features a case study of an adult patient at risk of social exclusion due to being out of employment for a long time, which, according to the author, is the result of a specific personality structure. The patient underwent a three-year psychotherapy in a psychodynamic approach. The conceptualization of patient problems and the therapeutic methods were based on Otto Kernberg's object relations theory. Typical problems of a person featuring dysfunctions in terms of personality inflexibility, sense of identity, defensive mechanisms and relations with the object are presented as well as ways of overcoming them in order to fully function in the society.