. She recently took a personal leave of absence from that position because of the severity of her symptoms and their interference with her position at the insurance agency.
             She lives with her husband and their three children in a four bedroom ranch style home in a suburb near the center. She reports that she and her husband built their home before their first child was born and they have been there since that time.
             Her husband works as an insurance agent for the same company that she is employed with but he works in a different office.
             The reason the client came to the center for assistance is because her symptoms are interfering with her ability to work. She reports mood swings, feelings of sadness and hopelessness. She also reports a new symptom that is concerning to her. She reports that she has begun to hear voices and have blocks of time where she has no idea where she has been or what she has been doing. These recent symptoms have caused her alarm and she arrived at the center filled with anxiety and seeking answers. She is concerned with how these symptoms may impact her ability to take care of her family or function from day to day.
             The client reports she has felt sad and depressed many times throughout her lifetime. As a small girl she would cry but as she got older she learned to keep it all in so people would not see. She reports that her father was extremely verbally and sexually abusive to her as a child and her mother, who knew about the abuse didn't have the strength to leave him or protect her daughter from his hands.
             When she first went to college her symptoms of depression dissipated for two years. She reports they returned as she entered her sophomore year and have waxed and waned since that time. She has noticed a cyclic pattern in that she is up for several weeks, then down for several weeks. She has not ever sought treatment for the depression but the new symptoms have her alarmed enough to s...