Now work with a revised version of Maryanne is a 28-year-old female who has come to counseling for the first time. She is the oldest of three children and reports that her parents are still married....

Now work with a revised version of Maryanne is a 28-year-old female who has come to counseling for the first time. She is the oldest of three children and reports that her parents are still married. She was referred to treatment by a physician who was concerned about her use of amphet-amines. She entered a combination inpatient/outpatient treatment and completed it about three weeks ago. She has not attended any self-help groups in her community, even though she was given referrals, because she did not want to bring further shame to her family. In her intake session, Maryanne reports a pattern of immersing herself in different addictive behaviors during her life. For example, for a time, she was involved with alcohol, then sex, then religion, then drugs, each in an addictive manner that appeared serial in nature. Process in small groups two questions:

1. How would you work with other professionals if in addition to her substance abuse, you believed she was struggling with depression? Anxiety? PTSD? Violent tendencies? Gambling? Personality Disorder?

2. How would your treatment plan shift for her if you found she was struggling with depression? Anxiety? PTSD? Violent tendencies? Gambling? Personality Disorder?