Laura is a 47-year-old woman who was referred for treatment of depression by her family doctor. She has a history of chronic dissatisfaction and recurrent bouts of major depression. Her most recent episode was precipitated by increased workload, menopause, and caring for her elderly mother. At intake, Laura was diagnosed with major depressive disorder and social phobia. She reported a difficult childhood involving abuse and neglect. Laura keeps people at a distance emotionally and has let friendships slip away due to work stress.