ASD Case
Kyle is a 40-year-old male of Greek-American descent. He reports that his religion is Eastern-Orthodox and he attends weekly services. Kyle's wife urged him to contact a therapist because she was concerned about some recent and radical changes in his behavior. As a reservist in the U.S. Marines, Kyle has been deployed twice to serve in Iraq. During his first deployment, he was stationed in Kuwait and had an uneventful service. However, his second deployment was marked by a significant tragic event. During a weekend leave just before he was sent back to the United States Kyle was exploring a rural marketplace with several military colleagues. A bomb detonated at the market, killing several dozen local civilians, and one of Kyle's colleagues. Kyle, who was not hurt in the blast, heroically assisted both his colleagues and many of the civilians who were critically wounded.
Since returning home two weeks after this event Kyle has been unusually withdrawn. He will not discuss his time in Iraq with his wife or family, and becomes quickly irritable when asked by friends about his deployment. Kyle's wife reports that he has been having nightmares in which he calls out or cries in his sleep. Kyle, himself, has not mentioned these nightmares. She has also noticed that Kyle seems unable to sit though a movie, a pastime that they both used to enjoy regularly. This is especially true of action movies.
A few days ago the local news reported a rash of nighttime burglaries that occurred in Kyle's neighborhood. Kyle became fixated on protecting his house and family, often staying up through the night and walking around the house repeatedly.
Kyle reports that although he cares about his family, he cannot seem to "connect" with them anymore. He can see that the change in his behavior is taking a toll on his marriage, but he does not believe that he can do anything about it. Kyle complains that he feels "empty and bored" lately. He is considering making a career change but is not certain what he would like to do next. Recently, he was involved in a physical fight with another man at a restaurant when the man "gave me a sarcastic look."
Occupational History: Kyle is a software programmer. He has held various positions in the technology field, including management, but he prefers to write code.
Educational History: Kyle received his bachelor's...
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