ABSTRACT
Carni, a 9 1/2-year-old girl, was referred by a community mental health center where she had been seen for therapy and provided with medications (an antidepressant and a mood stabilizer). Presenting symptoms included lability of moodiness and overly demanding behaviors, as well as intense sibling rivalry characterized by physical fights. Her parents were divorced and both later remarried. During these transitions, Carni had remained confused over parental loyalties. This uncertainty created much turmoil within her reconstituted families.
