What Is an Identified Patient (IP)?
Family dynamics can be complex, especially when one member is dealing with a mental health diagnosis such as autism, a personality disorder, or a substance use disorder. This individual is often referred to as the Identified Patient (IP). The IP may receive a disproportionate amount of family attention and resources, which can leave other family members feeling ignored, resentful, or misunderstood. These emotions are valid, though many family members feel shame for experiencing them.
Defining a High Conflict Family
A high-conflict family often includes dynamics like:
A parent struggling with alcoholism or substance use disorder
A family member on the autism spectrum
A sibling or partner with a personality disorder, including Borderline Personality Disorder (BPD) or Narcissistic Personality Disorder (NPD)
These situations can create significant tension and conflict, making it difficult for family members to find a sense of peace or balance.
Treatment with Cognitive Behavior Therapy
In these high-conflict situations, it is important for family members—whether siblings, children, parents, or spouses—to share their frustrations in a safe, therapeutic environment. I encourage individuals in therapy to focus on their own emotional needs rather than just the Identified Patient's needs. Through Cognitive Behavioral Therapy (CBT), my goal is to help clients understand the difference between codependency and caregiving, and work on setting healthy boundaries. This process empowers clients to navigate difficult family dynamics while prioritizing their own well-being.