Case Illustration Presenting Problems and Background

C. N., a 25-year-old woman who worked in science research, had lived until her late childhood in a country with a culture very different from that in the United States. She was treated for 1 year with the DBT model by C. V F., supervised by C. J. R. This followed 1 year of treatment by the same therapist with a more psychodynamic supervisor. Her presenting problems included dysthymia and substance abuse. She was referred for DBT after an overdose on a mixture of unprescribed pharmaceutical drugs (sedative-hypnotic abuse) and street drugs (cocaine) that required hospitalization. C. N. denied actively wanting to die, endorsing instead the desire to sleep and escape life. She also had problems with her primary support group given that her domestic partner was an alcoholic and a drug dealer. All of her friends and acquaintances were drug users.

Dealing With Drugs

Dealing With Drugs

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