After moving from a big city to a rural setting Janice is suffering from anxiety and depression because of adjustments to the change. She wants to seek counseling services to help her adjust. Janice has always valued her privacy and is finding it difficult to commit to seeing a counselor in a rural setting. The community has only one mental health counselor. Janice fears that if she begins counseling sessions people will learn that she is undergoing therapy. In addition Janice is a devoted Catholic and is aware that the counselor is a devout Jehovah’s Witness as is most of the community. Janice is apprehensive that the counselor might try to encourage her to convert. She is desperate to talk to someone and does not know where to turn.