Robert used to go the pub and the betting shop quite a lot until he was barred from the latter. Although he enjoys the pub, it seems he can’t be bothered going any more. He recently split up with the woman he had been going out with. Robert’s dad has started to get very irritated with him because he doesn’t have a shower every day and generally spends his time eating. His mum thinks there might be something wrong with him, but dad says he’s fine all he needs is a kick – “good up the backside!” Dad tells Robert he’s going to start going with him to football on Saturdays and says that Robert is going to have to do more in the house if he’s going to carry on eating as much as he does. Robert goes to football with his dad, but complains about the cold and the seats. He says he doesn’t like football, but dad won’t let him give up until he finds something else to do. Mum gets him to go to the shops to pick up milk and papers in the morning but this is a great effort, with Robert trying to avoid it at every turn. Robert’s mum wonders if he might have something wrong with his thyroid. Her dad had thyroid problems and behaved similarly. She takes Robert to the doctor but his thyroid function is fine. The doctor suggests more exercise and getting out to see people. Robert starts to go out of the house after lunch, saying to his mum he’s going to the pub or the gym or to see friends. However, he is going to library to sit in the comfortable seats. He sometimes watches DVDs there, but mostly falls asleep. He has been asked to leave on a few occasions. Either by yourself, or with your mentor, consider the following. Could anything else be happening to Robert? What issues might make it difficult to identify the underlying reasons for Robert’s presentation?
Robert used to go the pub and the betting shop quite a lot until he was barred from the latter. Although he enjoys the pub, it seems he can’t be bothered going any more. He recently split up with the woman he had been going out with. Robert’s dad has started to get very irritated with him because he doesn’t have a shower every day and generally spends his time eating. His mum thinks there might be something wrong with him, but dad says he’s fine – all he needs is a “good kick up the backside!” Dad tells Robert he’s going to start going with him to football on Saturdays and says that Robert is going to have to do more in the house if he’s going to carry on eating as much as he does. Robert goes to football with his dad, but complains about the cold and the seats. He says he doesn’t like football, but dad won’t let him give up until he finds something else to do. Mum gets him to go to the shops to pick up milk and papers in the morning but this is a great effort, with Robert trying to avoid it at every turn. Robert’s mum wonders if he might have something wrong with his thyroid. Her dad had thyroid problems and behaved similarly. She takes Robert to the doctor but his thyroid function is fine. The doctor suggests more exercise and getting out to see people. Robert starts to go out of the house after lunch, saying to his mum he’s going to the pub or the gym or to see friends. However, he is going to library to sit in the comfortable seats. He sometimes watches DVDs there, but mostly falls asleep. He has been asked to leave on a few occasions. Either by yourself, or with your mentor, consider the following. Could anything else be happening to Robert? What issues might make it difficult to identify the underlying reasons for Robert’s presentation?
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