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Natalia: A Question of Rational Suicide
Natalia: A question of rational suicide

Natalia is a forty-year-old Hispanic woman, referred for counseling by her primary care physician for an evaluation of depression. Natalia was assigned to Marta for counseling. When Natalia appeared for the first session, she seemed to have a constricted affect, and in a matter-of-fact manner she reported taking three extra antidepressants the previous day in order to gain the courage to kill herself. She also admitted attempting suicide by hanging but the scaffold she constructed gave way. Natalia explained how, three years ago, she was informed that she had multiple sclerosis (MS), a neurological disease that progresses slowly. Now Natalia is experiencing more severe symptoms and is wheelchair dependent. She fears that she will ...

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