Describe The Approach of the Therapist Towards Addressing Sociocultural Factors in the story.

The client reported a 13-year history of symptoms of anxiety and depression. She reported that her mental health issues began when she moved to Canada. She stated that she did not experience symptoms of anxiety and depression when she was living in St. Vincent. She denied receiving counseling in the past and denied the current and past use of psychiatric medications. She reported she has been hospitalized once for psychiatric purposes in 2008 after an attempted suicide using pills and alcohol. She reported that this attempt was done impulsively and was triggered by traumatic experiences from an abusive relationship with an ex-partner, who she was with at the time in Canada. She reported attempting suicide as a way to escape the relationship.The client also experienced trauma growing up, as she reported she was sexually abused by her neighbor when she was 10 years old. She stated that she had never disclosed the abuse to anyone apart from the therapist upon her initial visit at the clinic and had not fully processed the trauma. The client also reported having been in multiple physically and emotionally abusive relationships, one when she was 16 in her home country, which forced her to flee to Canada, another in 2008 in Canada as noted earlier, and one in her 20s.The client stated that she had no family support in Canada, as her family remained in St. Vincent. She stated that she speaks with her parents on the phone but does not share her personal struggles with them. She reported a close relationship with her aunt, who was like a mother to her. Although conversing with her aunt over the phone approximately once a week, she reported difficulties of sharing her mental health struggles with the family as they did not discuss mental health issues in their culture. With respect to social network in Canada, the client described having two friends, with whom she spoke approximately once a month but did not share her mental health issues. indicates that one's cognitive core beliefs shape one's understanding of how they view themselves, the world, and othersthat he called the cognitive triad. Using the downward arrow questioning, the therapist explored her negative thought of herself by asking "if you are not a good mother, what does that say about you?" The client responded by saying, "I am not good enough in general." This view of self was related to the client's views of the future, as she believed her experiences would result in total failure. Her view of others/the world appeared to be not trustworthy, judgemental, and unsafe due to her interpersonal violence and traumatic experiences.The therapist introduced a thought record and assisted the client to complete it together in the fourth session to assess the thought that she was a bad mother. With prompting, she was able to come up with evidence that did not support this thought. The therapist asked, "Can you think of times when you felt like you were a good mother?," "Is this thought true 100% of the time?," and "If you had a close friend who was at times struggling to get her child to school on time, would you call her a bad mother?" The client was able to recognize that this thought was not always true and that there are many instances where she felt like a good mother, for example, when her son cried for her and was comforted, and when she made him food that he enjoyed as he was a picky eater. She was able to establish alternative thoughts which assisted in reducing the intensity of her negative self-appraisal and emotions. The client was agreeable to completing a thought record on her own and brought it to the following sessions along with the weekly activity logs (i.e., tracking her enjoyable activities and addressing the occurrence of avoidance behaviors). After the cognitive restructuring exercises, despite her overall negative views of self, others, and future, her cognitive triad, especially view of self and future at times remained hopeful, as she reported being motivated to "get better" for her son and was aware of herself as being important to him.