A 52-year-old client enters the crisis intervention clinic with her spouse. The female client is caring for her 78-year-old mother who is bedridden following a cerebrovascular accident. The client's spouse works two jobs to meet the financial needs of the family. The couple's single daughter and her two children just moved in and the house is crowded. The client is crying, shaking, and states "I am exhausted. . . I can't do this anymore. . . I can't take it anymore. " Discuss the following.