John is a 40-year old unemployed man who lives with his mother. He is seeking help because he has not been able to sleep due to low self-esteem brought on by not having a girlfriend, job, or place of his own. He believes his lack of attractiveness is why he cannot find a soul mate and was fired from his long-time job two years ago at age 38. Living with his critical mother exacerbates his self-esteem issues by her constantly pointing out his flaws.