Client's presenting issues: The client presenting issues are the same as in the previous referral. He again describes that for a long time he has been 'just keeping going but not getting there or able to do anything right'. He states he is again feeling overwhelmed & under pressure within his family circle. He is trying to juggle work, uni & home. One of his children has anger issues & another is in the process of being diagnosed with Autism. His wife has been diagnosed with Asperger's. He is still having a difficult relationship with his sister & his mother who have opinions on his personal life & how he & his wife should live. His sister was attacked 12 years ago & he has taken on responsibility to take care of her since then. This is problematic as he feels responsible for her well-being & afraid that if he says anything outside that which she wants to hear she will kill herself - which she says she will do on occasions. He states he still feels as if he is stretched to his limit & is exhausted. The client as in the previous sessions states his family still rely on him & he always wants to 'be there' for everyone including his alcoholic father but he cannot say anything they do not want to hear nor do they listen to him when he tries to express how much strain he is under.