Lupita, a 17-year-old high school senior, arrived in an emergency room after a suicide attempt. The psychiatrist on call happened to be the same one who had diagnosed Lupita's bipolar disorder a year before. He thought that she had been taking her medications properly, but blood tests now revealed no trace of psychiatric medication, but that there is cannabis and alcohol in her system. The psychiatrist tried to communicate with Lupita's anxious parents, who were waiting in the visitor area, only to learn that they spoke only Spanish, not English.The psychiatrist had mistakenly assumed that because Lupita, a second-generation Mexican American, was highly acculturated, so were her parents. Later in treatment, the psychiatrist learns that Lupita's parents live below the poverty line and do not have access to many resources such as the Internet.