The authors present a case study of a 26-year-old woman who developed diabetes in early adolescence and who attended seven CAT sessions. They used phenomenology to analyze therapy transcripts, case notes, and a reflexive journal and extract the major themes. The client's identity had been overshadowed by the development of a "diabetic identity" that the client rejected. Poor adherence was linked to the rejection. Motivation to manage her diabetes changed during the CAT sessions once her identity was confirmed as being separate from her diabetes. The client was then able to integrate diabetes into her life.Psychological and psychosocial factors are linked in complex ways, both in the personal development of adolescents with diabetes and their transition to adulthood. Understanding the impact of diabetes on identity can enhance the effectiveness of therapeutic interventions with nonadhering clients.

While there is no significant difference in the mean anxiety or depression in this cohort compared with those reported for a non-diabetic, healthy population, the results suggest that there is an increased prevalence of clinically relevant anxiety in females and of depression in males with Type 1 diabetes when compared with the normative data.

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This article aims to investigate the prevalence of female sexual dysfunction and sexual health problems in women with diabetes. We explore the causes, natural history and available treatments. We have examined evidence from clinical and non‐clinical studies for sexual dysfunction in women with diabetes and report this information alongside our own large, self‐reported study of sexual health problems. Sexual dysfunction is more prevalent in diabetic women compared to controls. Problems identified include reduced vaginal lubrication, inability to achieve orgasm, dyspareunia and reduction in libido. Other sexual health concerns include genito‐urinary infection, problems of self‐image, depression and mood‐related issues, plus a range of reproductive and contraceptive worries. In conclusion, sexual health problems are common in women with diabetes. Women should be encouraged to talk about sexual health issues, and specialist advice and therapies should be made available to those who need it. Psychological factors have a more profound effect on sexual functioning in women with diabetes compared to men where physical sexual dysfunction (erectile dysfunction) is the dominant problem. Copyright © 2013 John Wiley & Sons.