Reference no: EM133643262

Problem

Sarah is a 32 year old female comes to therapy due to issues with her romantic relationships. She went to College for an Accounting degree and works as an accountant in a firm. She considers herself an intelligent woman, who is successful at work. She has had three stable boyfriends and dated a few guys over the past five years. She reports experiencing depressed mood, feelings of loneliness, anxiety, insomnia and nightmares. She currently dreams that her current crush, who is separating from his girlfriend and accepted he feels the same way towards her, is going to return with his girlfriend and will never pay attention to Sarah. That is when she decided to start psychotherapy.

Sarah refers that she is the product of an extramarital relationship between his married father and single mom. She used to always ask about her father and her mom would tell her "he is working" when in reality he could not spend more time with her because he had another family. When Sarah spent time with her dad, she noticed that he was not entirely interested in what she said or in her hobbies. She always felt like the missing key to a symbolical lock that represented the love of her father.

As years passed by, she learned to "replace" her father's love and attention by spending more time with her uncles. However, when she was in her 20s, she constantly required reassurance from her boyfriend at the time, was extremely jealous and afraid of being abandoned. He broke up with Sarah, and it took her a long time to recover, frequently finding excuses to visit or talk to him. All of her relationships have been really stressful for her, as she has always struggled to trust men. Five years ago she was ghosted by someone she was dating. That event succumbed her in the deepest depression, requiring psychiatric treatment. She stopped eating and struggled controlling her crying at work. She blamed herself for not being enough to deserve he attention of her date. She would constantly attempt to talk to him and discover why he left her, to the point that it became obsessive. With psychiatric medication, she was able to overcome her depression until now. She decided to visit a psychiatrist again as her mood has been low since dealing with the current situation of her crush.

Guide questions:

A. What type of Attachment is likely to have Sarah?
B. What role played her past experiences with men in how she is reacting at the present and how she reacted in past relationships?
C. What do you predict are the contents of her internal working models for romantic relationships?