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Therapy Plan for a Married Couple


            The client in this study is Mira, a 34 year old college-educated woman who's been married to attorney Larry, for six years. They have a kindergarten aged child, Eric, who Mira cares for at home. Recently, Mira found a letter in Larry's dresser drawer from a woman in their church, revealing that they'd been having an affair for the past two years. As of now, she has not told Larry that she discovered the letter and as a result of the anxiety, shes' had difficulty eating and sleeping. .
             Mira was raised in a very conservative, fundamentalist family who faithfully attended a local Baptist church. Due to her religious upbringing, Mira doesn't doesn't believe that divorce is an option for her, claiming that "God would never forgive me." "Her parents act as if Larry "walks on water,"" even though he's been through three divorces and has three children living in another state. .
             Mira met Larry seven years ago when soon after she moved to the town he lived in. She describes Larry as a take-charge man, always in control, a leader and never overly emotional.
             According to her, their marriage has been lacking in romance and communication since the birth of their son Eric. Mira claims to love Larry but has no idea how to move on. She says she feels so overwhelmed at times that she has trouble breathing. Her feelings of helplessness are now preventing her from leaving the house and doing things she enjoys such as volunteering at church and spending time with her son. Mira appears deeply saddened and depressed to the point where she has let her appearance get away from her. In search of someone to talk to, Mira looked up local mental health professionals and was referred to, Dr. Jordan A. Tanner PhD. After initial evaluation, I believe her preliminary diagnosis is Generalized Anxiety Disorder (GAD) and Depression with the need for a suicide assessment. .
             Professional and Ethical Issues.
             There are many possible issues that could arise from the client-therapist relationship between Mira and me.


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