ABSTRACT
Douglas, a 39-year-old white man, average in height and appearance, entered counseling in the fall of 2009. He presented for counseling casually dressed and neatly groomed; he was slightly nervous but outgoing in his interpersonal style. He had a disarming smile and gentle demeanor. Douglas described his family as very high achieving. His father was a physician (gynecologist) at a prestigious teaching hospital in the area. His mother had earned her doctoral degree in educational administration and was the principal at one of the local high schools. His older brother was a corporate lawyer in New York City. His younger sister had earned her Master of Fine Arts and recently embarked upon a promising career as a painter, already earning strong reviews for her work.
