Cindy is a 34 year old single woman seeking counsel from you for her frustration and unhappiness in life. As you assess her story, you find out the following information: • She is a CPA and works at a local accounting firm. • She reports feeling very anxious most of the time and has felt that way for the past year. • She really doesn’t have any friends and has not dated since high school. • She grew up in a family with much conflict, and her parents divorced shortly after she left for college. She has two older brothers. Her mother has been on anxiety medication for several years. • She also reports that she often feels down (depressed) and has felt that way for most of her adult life. • As you question her, you find out that she was sexually abused by her brother at the age of 9 and has never told anyone except you. She appears to be very upset, depressed, and angry about this abuse. • She also reports that she often binges on food and sometimes she literally feels like she can’t control her eating. She does not purge; however, she does diet frequently when she gains too much weight.
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