Imagine that you are working with the following client in therapyMike is a 19 year old African American male (he has two brothers and he is the youngest child). His parents brought him to therapy because Mike has been reportedly stressed. He is reported to worry for prolonged periods of time. His worrying has interfered with his grades in school.He can’t focus and concentrate and he is failing several classes. His sleep has decreased because he worries about various issues (no particular topic).In therapy he reported that his symptoms of excessive worrying began about one year ago. He states, “I feel like I can’t go anywhere alone. I feel like I always have to go somewhere with someone.I feel like I depend on others too much but it’s my reality. It’s like I need someone to protect me. I have lost relationships with good friends because they tell me that I am too needy.” Mike mentions that if he goes places alone he starts to feel stressed and he describes the following symptoms: “I feel nervous and scared, like something bad is going to happen, I feel my heart racing, my muscles get real tense and I get dizzy and nausea.” “I feel like I should just stay home and avoid going anywhere but I have to graduate high school.” Mike reports he was working a part time job that he eventually quit because he kept calling in sick and avoiding work.His mom mentioned that now he is trying to avoid going to school and she is afraid he may not graduate. In the session he makes the following statements: “If I go places alone, than I feel like something bad is going to happen.” “If I don’t get my act together, I know my life is over.Why does everything feel like it’s a catastrophe.” Mike’s mom reported that he recently began drinking. Mike states, “I drink because it makes me feel better, it makes the stress decrease and the worrying decrease for awhile.”
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