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¶ … Treatment Plan: The Case of Felix
Latino male approximately 30-year-old.
Felix is bilingual in Spanish and English and his heritage is very important to him.
He has a divorced mother who might not support his gay relationship
His mother is diagnosed with a problem of bipolar
His mother does not comply with therapy and medication's recommendations
His father had been remarried, Felix did not accept the relationship
His father will have difficulty accepting his gay relationship.
His mother has been remarried
The stepfather is an alcoholic, and usually abuse his mother.
The family lived in a perceived dangerous inner city environment
Felix was encouraged not to move out of the house
Relationship with his gay partner
Felix has a long-term committed gay relationship with another man
He met the man in college and they own a home together iii. They have not yet legalized their relationship under the state law
Felix is too constricted and worried in public
v. Felix experiences high level of stress with regards to the relationships making him to hide his relationship
vi. Felix is unable to disclose his relationship in the public despite that his partner has exposed the relationships in the public vii. he was hypervigilant when in public with reference to verbal and non-verbal communication with his gay partner viii. Hiding his sexual orientation has created tension in the relationship with his life partner
2....
Exploring "The Case of Felix: An Example of Gay-Affirmative, Cognitive-Behavioral Therapy" (Glassgold, 2009 p 1).
a. Felix is suffering from sexual orientation stigma or sexual stigma.
i. The phenomena of sexual stigma occurs when "some lesbian, gay, bisexual individuals are negatively affected by prejudice and discrimination resulting in minority stress, so that some individuals may be prone to symptoms of anxiety and depression." ( Glassgold, 2009 p 6).
1. Felix is satisfied with his gay relationship
2. However, he fears of disclosing his relationship to family member
3. He is not proud of the relationships and fear of disclosing the relationships in the public
4. The problem has made Felix to develop an increased heart rate, rapid breathing, and shallow
5. He also had palpitations feeling he could not get enough air
6. Felix showed no signs of a mood or thought disorder
7. Felix reported he experienced a great deal of stress with regards to his interpersonal relationships by hiding his sexual orientation
8. Moreover, he experiences dizziness, light-headedness, discomfort and chest pain
9. Felix goals are to reduce his anxiety and panic attacks.
ii. "I hypothesized that the panic attacks and general anxiety were tied to issues with managing a stigmatized identity, specifically to his current coping styles', ( Glassgold, 2009 p 10).
1. Hiding and avoidance cannot successfully address his fear of stigmatization, and his fear of family rejection, close friends and his…
Reference
Glassgold, J.M. (2009). The Case of Felix: An Example of Gay-Affirmative, Cognitive-Behavioral Therapy. Pragmatic Case Studies in Psychotherapy. 5(1):1-21
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