About tammys medical safety

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The past two months, you have provided counselling services to Tammy, a 14-year-old girl with Type 1 diabetes. Prior to coming to see you, Tammy had been to three other counsellors in the last year, all of whom she quickly dismissed as "idiots." Although a very reluctant participant initially, the therapeutic alliance with Tammy has strengthened over time to the point where she often discloses very personal information. Tammy's parents are thrilled that their daughter has finally found a counsellor she likes and trusts. During your most recent session, Tammy hints that she drinks heavily at parties. When you probe further, Tammy quickly retracts her comments and changes the subject. Repeated attempts to get her to say more about her drinking get nowhere. You are very concerned about Tammy's medical safety if she misuses using alcohol regularly.

Reference no: EM133589959

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