PSY645 Fictional Sociocultural Case Studies
Case #1
Frank is a 45-year-old male who identifies as gay. He stated his reason for seeking out
psychotherapy “is because my boyfriend doesn’t want to have sex with me.” When asked about
the frequency of his sexual activity with his boyfriend, he reported that they have sex at least
once a week. While this tends to be the average amount of sex that couples generally have, he
repeated, “You don’t understand. I just want him to have sex with me!” When asked to share his
boyfriend’s name, Frank responded, “Orlando Bloom… you know, the actor in those movies.”
Frank appeared well groomed with logical thought and poor insight into his problems. He denied
symptoms of depression and anxiety.
Case #2
Chrissy is a 28-year-old female of Argentinean descent. Chrissy was born in the United States
two years after her parents emigrated. She stated her reason for seeking out psychotherapy “is
because my family won’t let me be the person I want to be.” She endorses symptoms of
depression and chronic passive suicidal ideation with a plan but no intent. One of her goals in life
is to be an independent entrepreneur, as she wants to start a designer clothing line for pregnant
women. However, this goes against her family’s expectation that she become a stay at home
mom and raise children of her own. She appeared well groomed with logical thought and
moderate insight into her problems.
Case #3
Harvey and Tina are a middle-aged mixed-race couple who present for counseling after 20 years
of marriage. They state that there are no known problems in their marriage, but they would like
to establish a safe space to discuss issues as they might develop. While gathering history, you
learn that Tina was born as Anthony and went through sex reassignment surgery two years into
her relationship with Harvey. Shortly after going through sex reassignment, Harvey and Tina
married. Harvey and Tina appeared well groomed with superior insight and no plans to use
insurance for counseling.
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