Jeremy’s parents were struggling with marital conflict as well as about how to deal with Jeremy’s frequent problems with school. When we began work together he was “on strike” in his classes insisting that he would not cooperate with teachers until they stopped the special education support services he found humiliating. He also struggled with his conflicting loyalties for each parent and his fear that he would become like his mentally ill uncle. His mother’s sudden onset of cancer complicated the family dynamics and Jeremy’s need for support.