Harvey and Tina are a middle-aged mixed-race couple who present for counseling after 20 years of marriage. They state that there are no known problems in their marriage, but they would like to establish a safe space to discuss issues as they might develop. While gathering history, you learn that Tina was born as Anthony and went through sex reassignment surgery two years into her relationship with Harvey. Shortly after going through sex reassignment, Harvey and Tina married. Harvey and Tina appeared well-groomed with superior insight and no plans to use insurance for counseling.

Write a detailed description of your uncensored personal observation of the patient depicted. Describe at least one theoretical orientation you would use to conceptualize your view of the patient’s problem and how it may have developed. Identify the issues you might focus on in treatment with this patient. Be sure to identify within your post which of the three case studies you have chosen.