Gina was referred to Thompson’s Intensive In-Home (IIH) program due to the severity of her depression and anxiety and the impact in both the home and school setting. Initially, Gina needed to take frequent breaks from therapy sessions due to a stomachache or headache. Since starting therapy, she has learned various coping skills to use when she feels anxious and built up her distress tolerance to handle stressful situations and still remain calm. Both Gina and her family report significantly decreased symptoms and she has not self-harmed for several months.