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A community mental health center includes a licensed clinical social worker, a psychologist who provides testing and other assessments, a child therapist and a staff of five counselors. The center also has a relationship with a psychiatrist at a nearby Free Clinic. A 31-year-old single mother of three children (ages 9, 5 and 3), has been seeing her counselor for four months and has become increasingly anxious over the past weeks. In the last few sessions she has disclosed that she feels frightened all of the time, is unable to sleep through the night, and worries that “something horrible is going to happen.” She admits to having a “couple of drinks” during the evening several times a week. She’s met with the social worker on two occasions to help her secure food stamps and get her children appointments at the local dental clinic. The children are now meeting for play therapy sessions with the child therapist during the time the mother is seeing her own counselor. She had met with the psychologist for an initial visit, but has not returned to complete any of the testing. At the end of the last appointment, the client disclosed that was very worried that she’s a horrible mother and is afraid that her children will be taken away and placed in foster care.

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