Physical neglect- mom does not believe it is her responsibility to prepare food, clean, do homework, or care for the children.

Family Info:  The Adam’s family was recommended for treatment because of their daughter. 17-year-old Sarah was in treatment for her OCD, anxiety and mild depression. Sarah’s therapist suggested that the family come in for family therapy because Sarah’s problems stemmed from environmental stressors and early attachment trauma.
The Adam’s family consists of mom, dad, Jessica (25), Rachel (24), Noah (23), Becky (21), Sarah (17), Liz (12), Sammy (9). The presenting problems include:
1) Emotional neglect- dad works long hours, mom has Borderline Personality Disorder with narcissistic features. The children have had to look out for their own validation and emotional support. Dad presents as emotionally healthy but is busy caring for mom to focus on the children.
2) Physical neglect- mom does not believe it is her responsibility to prepare food, clean, do homework, or care for the children. There is food in the house and laundry detergent but the children need to cook and wash things on their own or with the help of the older children.
3) Poor boundaries- because of the neglect the children have taken on the role of ‘parent’ in varying capacities. Of the older children, Becky feels the most responsible for the families emotional and physical well-being.
4) High level of interpersonal conflict between the parents and the siblings.
The reason the Adam’s are seeking treatment is because Sarah’s therapist has told Mr. and Mrs. Adam that Sarah cannot continue treatment without it. Sarah’s therapist became concerned during a session that Mom and Dad joined. She felt that as much progress that Sarah makes, it will be stunted by her family. The change cannot come only from her.