Mrs. M migrated from India with her husband 20 years ago. They have three grown children. Mrs. M was referred to therapy by her primary care physician who was worried about her depression and stress, caused primarily because her mother in India had just been turned down for a second green card and visa. Mrs. M's mother had lived with them when the children were teenagers and had returned to India without renewing her green card. Mrs. M was alternately angry with her mother over her negligence and worried about how she could take care of her now.

How would you introduce the session? What are some guidelines for a first session?

Mrs. M migrated from India with her husband 20 years ago. They have three grown children. Mrs. M was referred to therapy by her primary care physician who was worried about her depression and stress, caused primarily because her mother in India had just been turned down for a second green card and visa. Mrs. M's mother had lived with them when the children were teenagers and had returned to India without renewing her green card. Mrs. M was alternately angry with her mother over her negligence and worried about how she could take care of her now.

How would you begin to gather data about the concerns of Mrs. M?

Mrs. M migrated from India with her husband 20 years ago. They have three grown children. Mrs. M was referred to therapy by her primary care physician who was worried about her depression and stress, caused primarily because her mother in India had just been turned down for a second green card and visa. Mrs. M's mother had lived with them when the children were teenagers and had returned to India without renewing her green card. Mrs. M was alternately angry with her mother over her negligence and worried about how she could take care of her now.

What role may referral have in this situation?

Mrs. M migrated from India with her husband 20 years ago. They have three grown children. Mrs. M was referred to therapy by her primary care physician who was worried about her depression and stress, caused primarily because her mother in India had just been turned down for a second green card and visa. Mrs. M's mother had lived with them when the children were teenagers and had returned to India without renewing her green card. Mrs. M was alternately angry with her mother over her negligence and worried about how she could take care of her now.

Would relapse prevention strategies be of help?