Client Name: Carlos Client Age: 39
Occupation: Financial Analyst Education:
Marital Status: Divorced Family: one son, 17; one daughter, 17 (twins)
Present Problem: The Oncologist has recommended Carlos for psychiatric treatment; the concern is that Carlos is not being honest with himself, regarding his prognosis. As well, doctors noticed that Carlos seemed to be growing deeply depressed, and he does not seem to have any one to turn to, for support. Carlos was an only child, and both parents are deceased and he has no friends. He has isolated himself; however he does maintain a relationship with his seventeen year old son and daughter, who live in South America with his ex-wife and their mother.
Carlos suffers from a rare, slow growing, malignant lymphoma, which has spread to his lungs and is expanding into his heart. For the past ten years his tumor has responded well to treatment, however, doctors are running out of options. Carlos has undergone maximum radiation exposure, as well, the chemotherapy possibilities are exhausting.
Diagnostic Issues: Client is terminally ill and has become deeply depressed. He acts as a social deviant and tends to devalue other, especially women. The client has isolated himself, primarily due to his health conditions. However, his attitude toward others is extremely insensitive, while in a group session, Carlos questioned two of women that shared their rape experiences. As he questioned their experience, it became apparent that he was being insensitive to what had happened to them. His response to the group was, that rape victims, make too big of a deal over being raped. He finished off his statement by saying, that he would welcome a rape experience.
As well, he works in a state of denial, as he laments over missed opportunities with various different women. He seems to be unaware the fact that he has been given a short time to live and that his physical appearance...