I have a 35 year old family member that that received a blow to the forehead by a see saw at the age of 3. He received a number of stitches to his head and no further treatment. Growing up he was labeled as a poor student and trouble maker. Fast forward 30+ years- he has chronic anxiety and panic attack episodes. Applying, interviewing, or even looking at want ads seems to be an impossible task, much to the frustration of his wife. With much coaching and support he has secured part time retail employment only to seemingly self-sabotage or quit. He exhibits impulsive behavior and has recently developed a gambling addiction which causes further financial stress on his wife of 10 + years. He doesn't seem to understand or care of the stress his love ones deal with. Often saying he's the victim because his wife want him to work and he thinks he should continue to go to school and work towards his "phd". He's been in school full time for over 8 years now and still has yet to pass and accumulate enough credits to even be considered a sophomore. With all this going on, they decided to go to counseling. While assessing his behavior and point of view; the counselor could not help but noticed the pronounced scarring on his forehead. It has been determined that a majority of his behavior exhibited over all these years is directly related to the frontal lobe injury from his accident at the age of 3. His wife, child, and family love him and will continue to support him, but we're not sure what to do now.