Sandra is a new client in her mid-30’s. She is single with no children. She has very little in the way of emotional support at home and has come to you as she has been feeling depressed.

Background information:

Sandra is a new client in her mid-30’s. She is single with no children. She has very little in the way of emotional support at home and has come to you as she has been feeling depressed.

Sandra has been receiving counselling elsewhere for the last 2 years but has now transferred to you.

Today you meet Sandra for the first time. During the session you notice Sandra has some cuts on her arms that look like they could be from self-harming. When she sees you looking at her arms she quickly pulls down her sleeves self-consciously.