Académique Documents
Professionnel Documents
Culture Documents
Brian Stracner
Capella University
Intimate Relationships:
George is currently only in an intimate relationship with his wife. However, he states that he has paid
for sex a couple of times in the past. He further explains that this was before he was with his wife.
Relevant Relationship History:
George states that he only had a couple of girlfriends before he was married to his wife, but he did
sleep around in a few no-strings attached situations between relationships.
Children (ages and where they are currently living)
George has a daughter who currently resides in Chowchilla prison for women. He says
she has a hard time living a normal life. He says that she is in prison for attempting to trade a controlled
substance for sex. George said he wishes that his daughter would not prostitute herself for drugs, but
that they never talk about her issues. Even so, George supports her when she is out of prison, but he
doesn't let her bring methamphetamine or her Johns to his home.
Current Living Situation and Environment
Housing
3 bed on bath home/owns
Who is living in current household?
Currently only him and his wife live in the home, but sometimes the daughter stays there also.
Social Connections
George is active in the Catholic Church, and does a lot of public service on top of his professional and
private life.
Financial Situational
George works at the local hospital and makes around $100,000 a year. He owns his home and car, and
is not an any serious debt. He spends a lot of money on monthly online pornography memberships, and
online sex partner search sites. George states that his wife likes to gamble, and she spends a lot of her
money on the tables. George states that his wife is a dental hygienist at small office downtown, and she
makes around $50,000 a year. George further states that his daughter costs them a lot of money in legal
fees, and missing items.
Other circumstances: legal, transportation, etc.
George states that he enjoys riding his bike to work on days that has weather permitting outdoor
activity.
Personal History:
George was involved in a drug treatment program when he was 31. After he got off of drugs he became
more interested in pornography. He states that there have been many times in his past when he felt
depressed.
Previous therapy; hospitalizations:
George was in a residential drug treatment facility when he was 31. After the residential treatment
program, George continued to work with an outpatient counselor. The treatment program lasted 18
months including non-residential status.
Family History of mental/psychological issues:
Georges father was in WWII, and came home to America with a trauma currently recognized as Post
Traumatic Stress Syndrome
Current Symptoms:
Georges current symptoms include an obsession with pornography, erectile disfunction, and
communication and sexual issues within the marriage.
Other Information
George seems to be in a strong state of denial that his obsession with pornography is a problem.
However, he states that he will try anything if it means he will be abel to maintain an erection again.
Possible Consultations/Referrals Needed:
It is possible that George and his wife would benefit from Marriage and Family Therapy, so a referral
to a MFT may be beneficiary. It will be important for George to follow up with his primary care
physician about using non-narcotic medications for his pain management. George may need the help of
a drug counselor, and a smoking cessation program. George may need to be consulted by a sex
therapist to help him explore more about what is going on with his erectile disfunction and
pornography obsession. George may also need to see a counselor for depression.
Mini Mental Status Exam of Other Assessment Instruments Administered:
Mini Mental Status Exam or Other Assessment Instruments Administered:
Assessments to be administered in this case include the Brief Symptom Inventory 18 (BSI 18), Cyber
Pornography Use Inventory (CPUI), and the Substance Abuse Subtle Screening Instrument-3 (SASSI3). These three assessments showed depression, an over consumption of pornography, and a substance
abuse issue.