what is this diagnosis and treatment recommendations
Mr. 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.
When 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
Mr. 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.