“Gail” awoke in Pembroke Hospital after a suicide attempt with alcohol and pills at the age of fourteen. She was diagnosed with bipolar disorder and referred to HES’s Outpatient Services in Ipswich where she and her family began weekly therapy sessions. The next few years were rough for Gail, as she was hospitalized several times for substance abuse and threats of suicide. Gail’s struggle continued as she became pregnant at 16. She stopped using drugs and alcohol and switched to a different high school. After her son’s birth she became increasingly depressed and suicidal and agreed to resume the medica- tions she had avoided during her pregnancy. Despite much progress, she had a serious relapse in her senior year and began using heroin. After two hospitalizations, she joined a substance abuse program and reconfirmed her commitment to living sober. Currently in her freshman year of college, she attends regular AA meetings, continues in her therapy and is off all medications. She now sees a bright future and is a good mother to her three-year-old son.