This article illustrates a prescriptive eclectic approach with Ms. Katrina,
a complex and challenging woman, by demonstrating the process of customizi
ng psychological treatments and therapeutic relationships to her specific n
eeds as defined by a multitude of diagnostic and Particularly nondiagnostic
considerations. Given the wealth of clinical and historical information Pr
ovided, we would initially concentrate on assessing Ms. Katrina's objective
s, preferences, and resources while cultivating a validating and collaborat
ive alliance. We would then systematically select and implement a series of
cascading, iterative treatment decisions: setting, intensity, format, stra
tegies, somatic treatments, and therapeutic relationships. Three priorities
in this case are the coordination of an intense, integrative treatment inv
olving multiple modalities, formats, and clinicians, the need to actively e
nlist Ms. Katrina's participation and strengths in her psychotherapy, and t
he centrality of therapist self-care when treating angst-inducing disorders
.