Annie has been in treatment with you for6 weeks concerning her Anxiety Disorder and Depression,yet she still has expressing excessive crying periods, feelings of dreed, emotional numbing (having no feelings of pleasure), and waking at 3:00am most mornings. She states she dreads everything however is able to report to work regularly. She reports feeling foggy headed and a has a general feeling of being unsafe. Annie reports that she hides in her bath

room and cries until she has to prepare and dress for work (she is no better than he was from his first visit with you). Annie has sought help from psychiatry, and she has seen 3 different prescribers, completing several different trails of anxiety and depression medications with no symptom relief. Annie is 27 years old and continues to live with her parents. Annie reports that due to the recent pandemic that she fears the loss of her parents and has a difficult time leaving them. Annie's parents are both healthy and are at low risk for COVID related complications. Annie's father works outside the home and her mother works from the house as an administrative assist to a local lawyer. During your last session Annie discloses that she was sexually abuse by a neighbor when she was 8 years old and that she has never told anyone about this abuse. Annie reports that it "went on for several months until he was arrested for molesting his own daughter".

Question 1: What are some of the issues concerning her family development you would need to know to better help her deal with her anxiety?

Question 2: Give some of your thoughts concerning the origin of her diagnosis now? What other information would you need for treatment interventions?

Question 3: While using multi-systems approach theoretical model how do you view the problem? Justify your answer?

Question 4: What are some of the interventions presently needed to help stabilize Annie?

Question 5: What protective and risk factors does Annie exhibit?

Question 6: How does her abuse play into the current diagnosis/treatment?