Case study: Luis Struggling with a sexual problem

The client a computer technician at a large corporation who earns approximately $60,000 a year, appeared at a public health organization asking for help with sexual difficulties he was experiencing with his wife. When questioned why he was not seeking private help, he said that he had come to this particular organization because it was noted for its treatment of sexual disorders. He said that except for the problems with his sex life, he felt that his life was under control.

Case summary background data

Luis is 35 year old and has been married 3 years to a woman 12 years his junior. She does not work. He is of Hispanic background and his wife is Caucasian. Although they are planning to have a family, he says that his wife does not willingly engage in sexual relations at any time. He is forced to initiate all sexual interactions, and they have intercourse approximately one or two times a month. In the past 3 months sexual activities have decreased even more. Luis says that his wife is unwilling to attend treatment and is completely closed to the idea of either or both of them seeking help. She is not aware that he has made an appointment at the public health organization. When questioned about other aspects of their relationship that might be problematic, Luis insists that everything is fine and that he merely desires help with his sexual problems.

1. What brought the client into therapy?

2. Comprehensive psychosocial assessment

3. Identify individual and relationship functioning.

4. Integrate client assessment and observational data with to formulate a conceptualization

6. What is a good treatment plan

7. Determine and identify other devices that could address client needs

8. Identify and discuss applicable ethical and legal issues for each case.