Help with adolescent anxiety/depression

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I just saw a 14 yo girl who i really want to help. I don't see much of this population and my heart went out to her. I'm not sure what i can do for her. She came in for trouble with sleeping, anxiety and depression. She has a very difficult home life, so that is a major obstacle. She lives with her mom and half sister who is 4, and her mother drinks every night and gets angry. They just moved from another town in MA and before that from NC, so she is in a new school since Dec. She hasn't made any friends and feels that she has disappointed the kids by not being friendly. Her mom is still in love with her ex (her stepdad) who is not a nice man and lives in NC and is the father of her half-sister. She worries daily and probably all day about her mom and that she

will get back together with her ex, but also mostly she worries about her mom and the fact that she is emotionally unavailable to her daughter. Her dad lives in CT a few hours away and she wants to live with him but can't. She has noone but a long distance friend in NC to talk to. She comes home from school everyday and sits on couch and freaks out about her life and gets very upset. She has tremendous anxiety about school and her mom. She ruminates so much, turns things over in her head, over and over. The anxiety gets so that she cannot breathe, and cries and can't stop. She is unable to sleep most nights, difficulty falling asleep and staying asleep. She has a lot of pent up anger. She doesn't feel like her mom cares about her - she never says ' i love you' or shows affection. She just wants it all to end and has suicidal thoughts but she hangs in there and just tries to

make it through each day and counts the hours for each day to end. Her menses is irregular and she has cramping during and not during her period, sometimes so bad that she is dizzy and feels will pass out. There is heavy bleeding the first couple of days. Diet is not great - lots of carbs and minimal vegs - typical teenager but lots of prepared and frozen food. She has to be malnourished. She is undergoing counseling every other week. I would greatly appreciate any input, thanks!!Alia Elias, ND, LAc.Newburyport MA and NH