Samantha is seeking treatment due to symptoms of depression and relationship disturbance. She is presenting for treatment largely at the urging of her husband. Years ago, she moved from the Midwest to our area as her husband secured a new job, and was also adjusting to her role as a new mother. Prior to both life changes, Samantha had a thriving business as a real estate agent. Both the move and the shifting role as a stay-at-home mother caused her to feel somewhat lost, frequently becoming intensely dysphoric and anxious about the future. Years have transpired since the move, and she feels pressure to "do something with her life," now that her son is in school. But this topic is met with intense anxiety and defensiveness, expressing much anger at the question, "what do you do when your son is at school?" Recently, she (with her husband's knowledge and acceptance) has pursued amateur pornography, engaging in relationships with men on the internet; much of her time and energy during the day is spent on this activity. She expresses feeling empowered by these activities, citing that she feels more comfortable with her body than she ever has, and she has enjoyed exploring her sexuality. While her husband has accepted this, he is concerned about her lack of direction in life, as well as her chronic feelings of insecurity and emptiness.