Pauline is 48 years and lives in a coastal town with her husband, Simon. Simon had a major stroke two years ago and is dependent upon Pauline for his extensive care needs. She has twin sons who moved away from home just under six months ago to study at different universities. Over recent months Pauline has been experiencing very low mood and general fatigue. With many financial and social worries, Pauline felt ‘run down’ and hoped that things would get better with time. But they worsened and, not wanting to burden Simon or her sons, Pauline did not know where to turn for help. Her diet deteriorated and she was eating less, often avoiding regular meals and consuming snack foods. This resulted in the loss of more than a stone in weight over a 10-week period. Pauline had always found it difficult to care for Simon and things had become even harder since her sons left home. As the situation deteriorated Pauline found herself unable to meet Simon’s care needs. Noticing that Pauline was finding it difficult to cope, a family friend contacted social services to pass on her concerns and see if any support could be put in place to improve the situation for her and Simon. Her friend also convinced Pauline to visit the GP who suspected that she had Addison’s disease and commenced relevant clinical investigations.