You are an LPC providing counseling for Lisa (age 35). Lisa is chronically depressed and takes anti-depressant medication. She lives with her very controlling mother and has never maintained an independent adult life. Many times Lisa has moved out, but always returns because she is unable to maintain a job. Lisa has no significant romantic interest and has never been able to sustain a relationship with a man. She has few friends and no nearby relatives other than her mother. In the past month, Lisa’s mother has contacted you three times expressing her concern that Lisa was becoming increasingly unstable. The mother fears that Lisa will attempt to hurt herself. She is urging you to “do something.” However, the mother has asked you to promise that you will not tell Lisa that she has been talking to you.
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