Jay is a 19-year-old young woman who lives at home with her parents and two younger siblings. She’s had treatment for mental health diagnoses since about 11 years old. Jay has several co-occurring disorders that require ongoing intervention, including epilepsy and Type I diabetes. As she’s gotten older, she’s wanted to take on more responsibility including managing her appointments, getting her own place to live, and going to college. Jay’s current therapist is exploring transitioning her to adult services that may better meet her needs. They have together found a new therapist that would be a good fit for Jay, but she is hesitant to begin the transition. Jay’s mom, Susan, is also ambivalent about the changes Jay is looking to make in her life.