I was thinking something similar. I would like to know more history. What are her Resilience factors and how can they be promoted?
I can see two from the history presented (one is a little shaky)
1. The family seems to be economically stable.
2. She has a "closer" relationship to her father. This one is the shaky one as he is far away and often in divorce these long distant relationships can become thin and strained.
However... Does she have positive resilience factors outside the home -- at school maybe a teacher or school counselor she can talk to. How well does she do in school - higher intelligence is a resilience factor that can be fostered. Does she belong to a religious community or a youth group that can provide resilience? Does she have a passion for something outside the home - pets, horseback riding, playing the violin? The ACEs need to be exposed and addressed while simultaneously, the resilience factors need to be promoted and nurtured.
Also her 10 year old brother has a high ACE score and this too need attention.
For a physician with a good relationship with this family, it may also be very useful to know the mother's ACE score. Could her alcohol use have something to do with ACEs in her own childhood. Why is she drinking? This much is often associated with anxiety and a "need to escape" i.e. self medicate something... what is that? How can we help her. Promoting resilience for the family means responding respectfully to the needs of the parents.