This case demonstrates an integrative approach to the treatment of an American Indian. The client, a 37-year-old female, presented with felings of depression and a past history of alcohol dependence. She was residing on a reservation and had strong ties to her culture. The treatment consisted of an integrative approach utilizing client-centered, behavioral, cognitive-behavioral, and psychopharmacological approaches as well as participation in self-help support groups. Therapist sensitivity to cultural factors was critical throughout treatment.
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