The Murdered Therapist

A female therapist is having her first appointment with a new patient, during which she soon begins to realize that he probably truly is a serial killer and decides to end there session and asks the man to leave.

Unfortunately for the therapist, he has other plans and grabs her by the throat forcing her down on the sofa, he then proceeds to strangle the women till she is unconscious. 

Shortly later the women begins to awaken bound to her desk table with zip ties.

The killer then proceeds to suffocate her with a plastic bag over her head just like he's done numerous times before to other female therapist's in the past.

 After an intense struggle she stops moving, he thinks she's dead already and begins to remove her knee high boots at which point the woman wakes up kicking the killer in the face, this only makes him more determined to make sure he kills her this time and holds the plastic bag tight over her head for a very intense long time.

Just as she finally dies he breaks her neck just to be sure, he briefly fondles her body before deciding to dispose of her so there is no evidence or connection to the crime.