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Client is a 45 year old male approaching military retirement. He presented with initial symptoms that were consistent with major depressive disorder, phase of concerns, and partner relationship problems. Client attended 4 session psycho-educational classes followed by individual counseling and experienced no decrease in symptoms. During 5th session, client confessed to having an issue with alcohol dependency. Although a number of approaches were used to help client overcome alcoholic pattern of denial fueled by his desire to continue drinking. Client was ultimately not willing to take the necessary steps to stop drinking and change his life.
If you were the practitioner preparing to work with the client, what unique environmental or systemic issues would be involved given that the case takes place in a military environment?
How does this context affect the way that you would approach the client?
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