Vignette Two Marcie a new client, identifies as a 22-year-old Chinese American woman who works as a receptionist in a doctor's office. She has just revealed to you during the intake session that she has recently lost interest in most activities, has been sleeping a great deal yet feels tired all the time, and sometimes wishes she could cease to exist. She mentioned feeling as though she were "on an emotional roller coaster" during the past year, throughout her on-again, off-again relationship with an abusive, 35-year-old married man.The last breakup with him where he slammed her into a wall seemed really final, and Marcie has felt herself sinking deeper and deeper ever since. When probed further about suicidal ideations, Marcie admitted that she has considered killing herself although she is uncertain whether or not she would actually do it. She said that she is currently in possession of a gun her friend allowed her to keep in her home following a rash of burglaries in the neighborhood, but she doesn't know whether she would actually use it. You have consulted with your supervisor, who has agreed that Marcie should be referred immediately for a psychiatric evaluation and has instructed you to arrange for Marcie to go directly from your office to a nearby hospital. Marcie told you that her mother accompanied her to this appointment and is in the waiting room, but she has emphatically stated that she does not want her mother to know what is going on with her.