Christina is a sixty-two-year-old female, married, with one child with whom she is estranged. She runs a counseling center and devotes much of her time and energy to her work. She reports feeling burnt-out, angry, and at times, emotionally flat. She has had several confrontations at work and has faced losing her license due to unethical behavior. She describes her marriage as loveless and she does not feel connected to her husband anymore. She drinks two-four glasses of wine each night and does not report experiencing a hangover the next day. She is not currently on any medications, and she has not been to therapy previously. She has come to your practice to better understand her circumstances and to find ways to cope with her anger and lack of feelings of happiness and joy.

1. What assessments might you use during your first few sessions with this client?

2. Would you recommend this client for group therapy and if so, what type?

3. Would you recommend any additional referrals for this client?

4. What diagnosis would you consider giving this client?

5. What theoretical approach would you take with this client?

6. What counseling techniques might you use with this client?

7. How long would you recommend treatment for this client?

8. Does this client remind you of anyone and how might you work to remove any biases you have regarding this client?