Peter is 27 years old. His request for therapy came a few weeks after an exam that did not go «as I wanted it to or as it should have». His childhood was characterized by his conviction, until he was 15 years old, that he was a genius because he found it easier to obtain top grades than his peers and because he was continually reminded of his brilliance by his extended family. His aunts were particularly partial to him; they praised his qualities, especially his intelligence and his good grades in school. Furthermore, he had the feeling that he always received the best gifts, which he remembers with feelings of guilt toward his brother, who was less brilliant at school and more introverted. At home he remembers that he «always» felt like he had «a guilty conscience» and that he was being judged; for example: «If I was watching a film on TV and my father or brother passed, I immediately felt guilty». Discuss a possible diagnosis for Peter, areas which would be relevant to explore, and specific forms of support that might help him.
Peter is 27 years old. His request for therapy came a few weeks after an exam that did not go «as I wanted it to or as it should have». His childhood was characterized by his conviction, until he was 15 years old, that he was a genius because he found it easier to obtain top grades than his peers and because he was continually reminded of his brilliance by his extended family. His aunts were particularly partial to him; they praised his qualities, especially his intelligence and his good grades in school. Furthermore, he had the feeling that he always received the best gifts, which he remembers with feelings of guilt toward his brother, who was less brilliant at school and more introverted.
At home he remembers that he «always» felt like he had «a guilty conscience» and that he was being judged; for example: «If I was watching a film on TV and my father or brother passed, I immediately felt guilty».
Discuss a possible diagnosis for Peter, areas which would be relevant to explore, and specific forms of support that might help him.
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