Jenny, 41, was referred to see you by her GP due to difficulty coping at present

Question

Jenny, 41, was referred to see you by her GP due to difficulty coping at present, and frequently feeling stressed, upset, and sad. She has had two sessions of counselling with you thus far. During these sessions, she has exprssed interest in working on improving her mood and learning ways to manage her feelings Jenny has provided you with the following information: She has been married to Costa, 44, for eleven years. They have two children, Samuel (4) and Grace (2). Both were conceived via IVF and Jenny reported this put strain on the relationship, noting, "I don't think our relationship has ever recovered, really-we still fight a lot." She said they fight about once every two weeks, mainly about childrearing and finances. When they fight, she noted she tended to think negatively and worry that the relationship was over, despite Costa telling her that he loves her and wants to make it work She is a physiotherapist and is currently working three days a week. She reports enjoying the work but would prefer to work less; however, she and Costa are in a precarious financial situation with a large e mortgage, and she cannot afford to reduce her work hours. She noted this was stressful for her For about the last four months, she has been feeling sad and low much of the time, and finding regular tasks, such as working and caring for her children, increasingly difficult and stressful. She feels unmotivated much of the time, and says that after the children are in bed, she tends to watch TV or videos on her phone as "I can't be bothered doing anything by that time She is the third of four children. As a child, her father's work led to frequent moves around Australia, and she noted this made it difficult to make and keep friends. This led to her feeling that she is not as good at social interaction as others, and tending to avoid social contact outside ive work and i She has a few friends but does not see them often and does not share much with them. She noted a positive relationship with her younger sister (36) and older brother (45), although she does not see them much as they reside interstate. She reported a challenging relationship with her oldest . sister (42), who she described as "competitive". She felt her parents did not notice her much as a child, as she tended to be quiet and reserved, while her siblings were more boisterous. Her parents tended to argue frequently prior to divorcing when Jenny was 18, and she noted that she felt they should have ended their relationship earlier, as their fighting was stressful for her and her siblings. She currently sees her mother regularly, and describes her as "great with my kids, but not so great with me," saying that she can be critical of Jennys appearance and housekeeping abilities. Jenny sees her father infrequently and says she dislikes his current partner as she is "a really big personality She used to be fit and active prior to having children, and noted that she was drawn to physiotherapy because of her interest in fitness. However, she is currently not exercising regularly, and noted low motivation to do so, "even though I really used to enjoy it. During sessions, you have noticed that Jenny is quiet and appears uncomfortable speaking about herself telling you that she is a private person and finds counselling hard. She has difficulty making eye contact and apologises to you when she occasionally becomes tearful. However, she appears motivated to keep coming and to learn ways to improve her situation.

Explanation / Answer

1. The major problems faced by the Client are

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