Desi is a 35-year-old Hispanic male who moved to the US from Mexico approximately 4 years ago. Desi is married to Julie, a 32-year-old Caucasian female, who is an assistant professor in the counseling psychology program of a well-known university. Desi and Julie have 3 children and the couple decided after their first child was born that Desi would care for the children due to Julie's full time teaching and research activities. Desi was referred to counseling by his primary care physician due to Desi's complaint of panic attacks, nightmares, and shortness of breath. Desi's therapist, Pat, is a practicing Gestalt therapist and hypothesizes that Desi is experiencing:
