Family Hub: Eliza Petrova
Family Composition
Child: Eliza Petrova (Age 8)
Mother: Elena Petrova
Father: Ivan Petrov
Parental Relationship: Married
Household: Two-parent household, Eliza is only child.
Elena Petrova (Mother)
Reported MH:
History of significant anxiety (esp. health anxiety). FMHC indicates elevated GAD score. Reports feeling overwhelmed, high stress.
Stance on Issues/Tx:
Primary informant, motivated for specialized treatment for Eliza. Perceives father as less understanding ('tougher' stance). May feel she caters too much to fears but recognizes the need for help.
Role/Stressors:
Primary caregiver, Lab Technician (Employed Full-Time). Key Stressors: Child's symptoms, parental disagreement, financial stress, cultural adjustment, lack of external support, own anxiety.
Therapeutic Considerations:
Validate her stress/anxiety. Provide psychoeducation on anxiety/ERP. Support her in managing own anxiety related to Eliza's symptoms. Empower her role as potential 'exposure coach'. Address alignment with father.
Ivan Petrov (Father)
Reported MH:
Denies personal history but notes mother was a 'worrier'. Paternal grandfather had alcohol issues. (No direct report/screening available).
Stance on Issues/Tx:
Reported by mother as believing Eliza needs to be 'tougher' and potentially skeptical about therapy. Demanding work schedule (Software Engineer) may limit involvement.
Role/Stressors:
Software Engineer (Implied Long Hours). Key Stressors: Likely shares family stressors (child's symptoms, financial, cultural). Potential stress from long work hours and marital tension over parenting.
Therapeutic Considerations:
Attempt to engage him if possible. Explore his perspective directly. Provide psychoeducation tailored to his concerns/skepticism. Highlight functional impact on Eliza and potential benefits of consistent approach. Address potential barriers (schedule, skepticism).
Cultural & Environmental Context
Background: Immigrated from Bulgaria ~5 years ago.
Language: Primary language at home is Bulgarian; family reported as fluent in English.
Support System: Lack of local extended family support noted as a stressor.
Potential Impact: Cultural adjustment stress reported. May influence views on mental health, parenting styles. Lack of external support may increase perceived burden.
Family Dynamics & Relationships
Reported Dynamics & Interactions
Parental disagreement noted on managing Eliza's anxiety (Father: "be tougher", Mother: perception of catering). Mother (Elena) reports high personal anxiety (health anxiety). Father (Ivan) described as potentially skeptical about therapy, demanding work schedule. Eliza reported as very attached to mother, seeks frequent reassurance.
Family Mental Health Check-Up Insights (Parent Report)
Elevated scores indicate areas of potential clinical concern reported by the parent completer (Elena).
Relevant Family Psychiatric History
Maternal Side: Mother (Elena) reports history of significant anxiety (esp. health anxiety); Maternal Aunt diagnosed with Panic Disorder.
Paternal Side: Father (Ivan) denies personal history but notes his mother was a 'worrier'; Paternal Grandfather had issues with alcohol.
Family Strengths
- Two-parent household.
- Mother (Elena) appears motivated for treatment and seeking specialized care.
- Family is fluent in English (facilitates communication in therapy).
Key Family Stressors
- Child's severe emetophobia symptoms & impact.
- Parental disagreement on parenting/anxiety management.
- High reported family stress & relationship conflict (FMHC).
- Financial stress (reported).
- Cultural adjustment / Lack of local support network.
- Maternal anxiety.