Janet - Janet Janet called the mental health center to ask if someone could help her 5-year-old son Adam He had been having trouble sleeping for

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Janet 1 of 3 Janet called the mental health center to ask if someone could help her 5-year-old son, Adam. He had been having trouble sleeping for the past several weeks, and Janet was becoming concerned about his health. Adam refused to go to sleep at his regular bedtime and also woke up at irregular intervals throughout the night. Whenever he woke up, Adam would come downstairs to be with Janet. Her initial reaction had been sympathetic, but as the cycle came to repeat itself night after night, Janet’s tolerance grew thin, and she became more argumentative. She found herself engaged in repeated battles that usually ended when she agreed to let him sleep in her room. Janet felt guilty about giving in to a 5-year-old’s demands, but it seemed like the only way they would ever get any sleep. The family physician was unable to identify a physical explanation for Adam’s problem; he suggested that Janet contact a psychologist. This advice led Janet to inquire about the mental health center’s series of parent training groups. Applicants for the groups were routinely screened during an individual intake interview. The therapist began by asking several questions about Janet and her family. Janet was 30 years old and had been divorced from her husband, David, for a little more than one year. Adam was the youngest of Janet’s three children; Jennifer was 10 and Claire was 8. Janet had resumed her college education on a part time basis when Adam was 2 years old. She had hoped to finish her bachelor’s degree at the end of the next semester and enter law school in the fall. Unfortunately, she had withdrawn from classes one month prior to her appointment at the mental health center. Her current plans were indefinite. She spent almost all of her time at home with Adam. Janet and the children lived in a large, comfortable house that she had received as part of her divorce settlement. Finances were a major concern to Janet, but she managed to make ends meet through the combination of student loans, a grant-in-aid from the university, and child-support payments from David. David lived in a nearby town with a younger woman whom he had married shortly after the divorce. He visited Janet and the children once or twice every month and took the children to spend weekends with him once a month. Having collected the necessary background information, the therapist asked for a description of Adam’s sleep difficulties. This discussion covered the sequence of a typical evening’s events. It was clear during this discussion that Janet felt completely overwhelmed. At several points during the interview, Janet was on the verge of tears. Her eyes were watery, and her voice broke as they discussed her response to David’s occasional visits. The therapist, therefore, suggested that they put off a further analysis of Adam’s problems and spend some time discussing Janet’s situation in a broader perspective. Janet’s mood had been depressed since her husband had asked for a divorce. She felt sad,
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This note was uploaded on 03/02/2010 for the course PSYCHOLOGY 610B taught by Professor Drshepherd-look during the Spring '09 term at CSU Northridge.

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Janet - Janet Janet called the mental health center to ask if someone could help her 5-year-old son Adam He had been having trouble sleeping for

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