C. N. had marked decreases in self-injurious behaviors (overdosing, cutting, and hitting herself); moderate increases in attendance and timeliness for therapy and completion of self-monitoring forms; moderate increases in work attendance, interpersonal assertiveness, and involvement in hobbies; and moderate decreases in drug and alcohol use, self-blame and guilt, anger, and depressive symptoms. Progress across the year of treatment was far from linear, however. C. N. experienced several relapses in which she overdosed, engaged in other self-injury, or was physically violent toward her boyfriend. Indeed, arguments with and physical violence toward her boyfriend continued relatively unchanged. There were several discussions about the wisdom of continuing in what was clearly a very problematic relationship, especially because her boyfriend continued to sell drugs. On one level, C. N. was aware that it was a huge problem, but she remained very ambivalent and not ready to end the relationship. Also, therapy-interfering behaviors, no-shows and lateness, increased around the time oftherapist transfer. The plan was for her to transfer to another trainee therapist, but unfortunately she chose not to follow through with that plan. In general, the therapist and supervisor felt that C. N. had made significant progress during 1 year of treatment, that she likely would have made further progress after perhaps a rocky period with a new therapist, and that it was unfortunate that she chose not to continue.

Natural Depression Cures

Natural Depression Cures

Are You Depressed? Heard the horror stories about anti-depressants and how they can just make things worse? Are you sick of being over medicated, glazed over and too fat from taking too many happy pills? Do you hate the dry mouth, the mania and mood swings and sleep disturbances that can come with taking a prescribed mood elevator?

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