Your client is a young female in her early 20s who is addicted to methamphetamines. She has a history at your agency of alienating the staff and burning out counselors because of her emotional...

Your client is a young female in her early 20s who is addicted to methamphetamines. She has a history at your agency of alienating the staff and burning out counselors because of her emotional intensity. You are aware she has a diagnosis of borderline personality disorder and a severe trauma history. You are seeing her for the first time, and you have been warned about her from other counselors. You want to give her a fair start with you.

1. What are some overall approaches you would use to establish a relationship with her?

2. How would you approach the "butterfly attachment" problem right away?

3. In terms of abstinence, how would you use commitment and the "cope ahead" approach?

4. How might you use the ACCEPTS skills in treating her (especially in crisis situations)?

5. How might you use the exercise of "Self-Soothing the Five Senses" as another crisis management approach?