Vargas Case Study: Session 8

This session with the Vargas family includes Elizabeth, Bob, Frank, and Heidi. You begin by

inviting Bob and Elizabeth to sit together on the couch and follow up on the events described to

you in the phone call with Elizabeth You learn that there are ongoing concerns regarding Geoff’s

safety, as well as with maintaining boundaries with their extended family members. Elizabeth

tells you that Bob “had strong words” with his parents, who were initially quite upset. Bob

confirms this and states that despite the difficulty, “they need to butt out.” You validate Bob’s

struggle and reframe this as bravery. You note the family’s willingness to seek help as a

significant strength. Bob expresses concern for his sister having recently lost her husband and

nearly losing her son. He shares how unfortunate it is that something bad had to happen to help

him realize how fortunate he is. Bob states that he admires his sister’s strength, and becomes

tearful as he tells Elizabeth that he cannot imagine what it would be like to lose her. He

expresses belief that it would be “impossible” for him to be a single parent and tells his wife that

he realizes he has been taking her for granted. Elizabeth receives these words with quiet

gratitude, providing comfort, being sensitive to Bob’s vulnerability. Bob wipes his tears and

apologizes for what he calls “falling apart.” You notice Frank and Heidi settle in closer to their

parents. Eventually, the therapeutic silence is broken when Frank hands his dad a tissue and says,

“It’s okay for boys to cry. Mom says so.”