For the last several months, George struggled with depression. He has strong visual-perceptual functioning, but weak verbal abilities. In addition, he has difficulty with executive functioning skills preventing him from staying on task, planning, organizing, and remember details. A major source of his depression is due to an unhealthy relationship with a girlfriend who has cheated on him three times. George wants to marry the girl and be together forever, but their interactions often become heated and unhealthy. As a result, George obsesses about self-harm and cutting after bad arguments. George deeply believes his relationship is healthy and normal. His parents do their best to intervene, but George’s beliefs cannot be swayed. In junior high, George had exceptional grades, but he is currently failing in three classes. He loves playing guitar and believes he will attend M.I.T despite his declining grades.