"Case Study instructions:
Each Case Study assignment is designed to help you make application of course content to a counseling situation. You are to read the assigned case study, determine the key issues presented, provide diagnostic impressions based upon the DSM-5, and develop treatment recommendations. You will need to follow the Case Study Template for each assignment.
Under diagnostic impressions, be sure to consider other disorders in addition to the main disorder. Provide a rationale for your diagnostic impressions using criteria from the DSM-5, also including reasons for ruling out certain disorders. The goal is to present, in writing, the basis for your diagnostic impressions.
Under treatment recommendations, be sure to consider the biopsychosociospiritual aspects of the case. Make sure your recommendations are relevant to the case, able to be implemented by the client, and have some basis of support from 2–3 references from professional literature.
Boyle is a 55-year-old high school principal who has come in for an
assessment. He reports that this is due to his wife’s concern after
he had a heated interaction with the school board recently. This
interaction has put his job as a principal in jeopardy. Mr. Boyle
reports that his wife states that their marriage is unbearable due to
Mr. Boyle’s difficulty in getting along with others, and that if it
does not improve, she will have to leave him. During the interview
Mr. Boyle states that although he has always been a suspicious
person, this has lately increased. Despite this admission, he goes on
to explain that he believes members of the school board are
conspiring with some of the faculty at his school and bitter parents
of former students to have him removed from his position as
principal. He reports that 1 of the school board administrators
recently shared with Mr. Boyle that since his appointment as
principal 2 years ago, he has been driving everyone “nuts”
because he is too structured. Mr. Boyle reports that he has been
doing the best job he can and that he believes this statement stems
from jealousy, as the board member’s friend also wanted the
principal position. When questioned in more detail, Mr. Boyle shares
that he may be overreacting and that he may be at fault for some of
these issues. However, he reports that he spends a significant amount
of time thinking about how he is being mistreated by the school
board. He admits that this is causing him to not perform as well as
he could at work.
Mr. Boyle’s wife is questioned separately, she reports that Mr.
Boyle has always had a difficult time making friends and trusting in
others. She reports that recently he has become more irritable and
argumentative with her, his friends, and the faculty at his school.
She shared that the recent fight with the school board was over Mr.
Boyle’s insistence that he had been passed over for an adequate
yearly raise. Although the school board explained to Mr. Boyle that
the all of the principals’ yearly raises had been reduced this year
due to budget cuts, he insisted on presenting his case to the school
board. She reports that after he was still refused the raise he has
been sullen, has told her he feels helpless and hopeless, and has
lost interest in most of the things that previously interested him.
She reports that this began the same week he was refused the raise.
Boyle’s 2 children are also interviewed—a boy, 15 years old, and
a girl, 17 years old. They both report that Mr. Boyle is very strict
and runs the household like a drill sergeant. He monitors every
expense, where they go, and who they are with. Mr. Boyle’s daughter
even reports that he will check her gas gauge in her car to see if
the gas used matches the distance she told him she went. She believes
he is just a “penny-pincher.”
asked to describe himself, Mr. Boyle says he is very proud of the
fact that he is a person who cannot be taken advantage of, as he can
spot a con from a mile away. He reports that he came from a very poor
family and worked his way to where he is today. He reports that
although he had to endure a lot of adverse situations and jealous
people, he has made his way to the top on his own abilities.