Mrs. Simon, a 37-year-old elementary school teacher, was referred for therapy by the principal of the school. Although M

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Mrs. Simon, a 37-year-old elementary school teacher, wasreferred for therapy by the principal of the school. Although Mrs.Simon has been teaching for the past three years, her performancehas always been problematic. Mrs. Simon is absent two to three daysper month because she simply “can’t get out of bed.” Mrs. Simonreports that she is tired all of the time, even when she goes tobed early, and that she rarely sleeps all night, typicallyawakening no later than 3 a.m. Upon questioning, Mrs. Simon deniesbeing “depressed” but reports that she “feels down” all the timeand frequently finds herself crying for no reason. Mrs. Simonreports that she doesn’t enjoy any activities and believes that herlife will always be this way. She goes on to report that she hasgreat difficulty concentrating on her responsibilities at schooland was dismayed to discover that she had taught the students thewrong material on several occasions.