Case Study Greg
Case Study 1- Gary
Gary is a 39-year-old male who comes into your office complaining of a variety of life stressors. To begin with, he lists the following:
weight gain of approximately twenty pounds
insomnia and interrupted sleep
moodiness and irritability
loss of appetite followed by increased eating
feelings of guilt stemming from loss of income due to economic troubles (business owner)
Gary has been married to his wife for twelve years. The marriage has had its ups and downs, but it is intact and relatively happy. Gary’s wife is a successful business
owner with many irons in the fire and a healthy income (six figures). As is the case for Gary, his wife has to put the majority of her income back into her business
ventures. The economy has taken a toll on the couple’s savings and investments, as well as on the way of life to which the two have been accustomed (doing and buying
all they wanted—for an upper-middle income household).
Gary holds a master’s degree from Johns Hopkins University. He obtained his MBA and has ventured out in his own business. He has one full-time employee and a
receptionist/data entry person who works hourly. He recently moved from a home office, which he shared with his wife, to a new office that has space for his employees.
The office is large enough to be used as a meeting space for his clients. His list of clients has grown, yet the clients tend to pay later than Gary desires (60 days
or more), and he often has to have his virtual accounting office prompt them for payment.
Gary has to have a good cash flow in order to pay his employees, pay off his bills, and meet his family obligations. Due to a pre-existing health condition (his wife
has a chronic illness), his health care premium is enormous (over $1K per month for his family plan alone). This does not include the premium Gary must pay for his
full-time employee. Gary’s wife paid the family health care premium on her own plan for over two years. It cost her $1,600 per month to carry the entire family (which
she did with no complaints).
Gary took over the premium, as he felt that his wife had carried that nearly $2K per year burden alone while he built his company. She had also covered all the
expenses he was not able to pay during that time. Gary has stated that he could not have embarked on his private venture without his wife’s support (financial and
otherwise). He feels that this has put a strain on his marriage in these stressful economic times.
Gary and his wife have two children, ages 6 and 9. Both are healthy, smart, obedient, fun, and well-behaved, per his report. Gary has no concerns regarding the
children at the time of his visit. His wife works very hard to support the family and take care of the children. While Gary works most days from 8 a.m. to any and all
hours of the evening, his wife does “double duty,” making nearly 200K and acting as a stay-at-home mother.
Gary feels that his wife’s deteriorating health stems from her attempts to do it all and be there for the children and him. While his wife does not complain, he feels
and understands that she must resent him for her 24/7 work schedule that has been set to accommodate his business. As the economy has declined, Gary has felt his
overall physical, emotional, professional, and personal state in decline.
Gary comes to your office asking you to help him regain control of his situation and make a plan to turn this cycle of decline around.
to examine for your paper. Your paper should be 6-8 pages long and conform to APA standards. Please use the DSM-5 as your main diagnostic resource.
For the purposes of this paper you are giving your client a preliminary diagnosis. This is your first session/intake, so your information is limited to what will be
provided in the case study. You will address the following issues:
What is your primary diagnosis? (included in this section you can discuss former level of functioning, current level of functioning, stress factors, medical issues,
comorbid diagnoses, etc.)
Discuss your diagnosis and provide justification using the DSM-5 and at least one additional relevant source.
What are the key symptoms that led to your diagnosis and provide justification using the DSM-5 and at least one additional relevant source.
What are your treatment goals for your client? Discuss each separately and in detail.
What are your clients strengths and how will these play a role in treatment?
What are some weaknesses or areas of improvement and how will you address these in your treatment?
List two homework assignments that you would include as part of your treatment and describe how each will support your client in his/her treatment.
What are some areas you will explore next (e.g.,Client’s relationship with spouse; professional goals)?