2. We do not know therefore if there is a history of alcohol abuse or previous experiences of loss or suicide. What we do know is that Mr P is still very much going through the grief curve and appears to be stuck. Mr P is feeling lost, isolated and that his life should be over. He does not like to see old friends because it makes him miss his wife even more. He feels that his son is too busy to have time for him in his life and he lives too far away from his grandchildren for them to be able to be of much distraction or comfort during this time. At the same time as all this, he is angry and disgusted with himself for his behaviour and what he believes his wife would think of him now.
Looking at Mr P’s elements, we can learn the following:
1. Bereavement – This would appear to be the fundamental cause of Mr P’s presenting condition. Having lost his wife fifteen months ago, he is stuck in the grief curve. This is obviously a negative in Mr P’s present. 2. Self-defeating Behaviours – Again, a major issue and a symptom of the Bereavement. This is also a big negative in Mr P’s present. 3. Relationships – Mr P’s remaining relationships are all being affected both by the bereavement and also by the self-defeating behaviours he has developed since; ie drinking excessively, avoiding contact with old friends and perhaps anger or resentment directed towards his son and family for their inability to help him. Once again, this is a negative in Mr
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