Therapy Case Study Essay

Presenting Problem Carla and Tomás initially sought out therapy in order to improve their communication. Since their first appointment, Tomás has undergone a transition from female to male. As a result, Carla now feels like she is losing her identity as a lesbian. I believe that this loss of identity, is not due to Carla and Tomás’s relationship, but the perceived impact of the community. Currently, there is a strong assumption amongst our community that if someone identifies as lesbian, that means that both they and their partner would be female. Even though we know this assumption isn’t always true, it clearly has an impact on Carla, as she states “When we are out in public, we are read as a straight couple. It feels so weird to me”. While the current situation, has been having a large impact on Carla’s identity, it is also drastically impacting Tomás. Instead, of being able to fully embrace himself, I hypothesize that Tomás has been positioning himself as a burden. The fact that his response to Carla’s feelings is an apology, indicates to me that in the moment he is feeling responsible. Additionally, the fact that …show more content…
I really liked how it felt like a marriage between the structure of Bowen or Psychodynamic models and modern viewpoints. I loved that it focuses on the client’s meaning of the world. I find that this is inline with my own thoughts on the client being the expert and me as the therapist, promoting a curious stance. I can also imagine this model being useful in multiple faucets. With a goal that is to essentially, change the way that clients view themselves you could help in otherwise hopeless situations. For example, let's take a single mom working three jobs, who has barely any time to see her kids.This mom could come with a story that she is a horrible mother and leave with one where she is proud to be working hard for