Psychiatryniche
A 36-year-old woman was abused by a relative between the ages of six and sixteen. She has nightmares about it, avoids the suburb where it happened and startles at a raised voice. She has also felt worthless and ashamed for as long as she can remember, either flies into a rage or shuts down completely when she is criticised, and has never kept a job or a relationship for more than a year. She has no fear of abandonment, does not self-harm, and her sense of who she is has not changed. Which one of the following should her treatment begin with?