Anne, a 16-year old girl, has been coming to see a counselor once a week for about 2 months now. Her family asked the counselor to work with her because they noticed she had not been eating as she normally did. Anne does appear underweight and freely admits that she is struggling with anorexia. The counselor was hesitant when she took the case because, (1) she had never worked with individuals who had struggled with eating disorders before and, (2) she had minimal education in this area. The client is also having outbursts of anger, and her grades in school are suffering. In her last session with the counselor, Anne admitted to the counselor that she had been hearing voices lately that were telling her to hurt herself and that her anorexia had gotten much worse.