ABSTRACT
Jean, a 28-year-old, single, unemployed woman was referred for cognitive therapy by a Community Mental Health Team. She had been in psychiatric treatment following a serious overdose and had been diagnosed as having a depressive disorder that had partially responded to a combination of medications. She had a lengthy history of self-harm, which included cutting herself and overdosing. Although her self-harm had decreased in the recent past, her psychiatrist was concerned that this behaviour was longstanding and had not substantially altered as her depression had improved.
