Cаse Vignette: “Jоrdаn”Jоrdаn is a 21-year-оld college senior referred to the university counseling center by an academic advisor after expressing concerns about increasing difficulty completing coursework and maintaining daily routines. Jordan reports, “I know I’m capable, but everything takes me so long now, and I feel exhausted all the time.”Jordan currently lives alone in an off-campus apartment and works approximately 15 hours per week at a retail store. Jordan describes having always been “organized and detail-oriented,” noting that throughout high school, teachers and family members often praised Jordan for being responsible and careful. Over the last 18 months, however, Jordan reports that daily tasks have become increasingly time-consuming and distressing.A typical morning routine reportedly takes Jordan nearly two hours before leaving for class. Jordan explains that getting ready feels “complicated” because things must be completed in a particular sequence. For example, Jordan reports repeatedly checking whether the apartment door is locked before leaving, sometimes returning from the parking lot to check again despite remembering already doing so. Jordan states, “It’s like I know I locked it, but then I get this uncomfortable feeling that something bad could happen if I didn’t do it correctly.”Jordan also describes difficulty completing school assignments because written work must “look right.” While preparing papers, Jordan frequently rewrites sentences, reorganizes paragraphs, and rereads material multiple times. Jordan reports feeling unable to submit assignments unless they feel “exactly correct,” even when deadlines are approaching. This has resulted in several late submissions this semester.When asked about these behaviors, Jordan appears embarrassed and states awareness that these routines are excessive: “I realize it doesn’t make sense, but if I ignore it, I feel really tense and distracted until I go back and do it.”Jordan denies any history of psychosis, mania, or substance misuse. No significant medical concerns are reported. Jordan reports no prior mental health treatment, though Jordan recalls experiencing periods during adolescence of needing to arrange items in a bedroom “just right” before being able to sleep.Over the past several months, Jordan also reports decreased enjoyment in previously valued activities, including intramural volleyball and spending time with friends. Jordan states that after classes, there is often little motivation to socialize, adding, “I mostly just want to go home.”Sleep has become more irregular, with Jordan reporting difficulty falling asleep due to “thinking about everything I still need to do.” Once asleep, Jordan generally remains asleep but wakes feeling tired. Appetite is described as “a little lower than normal,” with Jordan occasionally skipping meals when stressed.Jordan describes mood over the last six weeks as “kind of flat” and “more down than usual.” Jordan endorses increased self-criticism, particularly regarding academic performance, stating, “I feel like everyone else is managing adulthood better than I am.”Although Jordan continues attending classes and work consistently, Jordan reports that concentration has worsened and assignments feel harder to initiate. Coworkers have commented that Jordan seems quieter lately.During the interview, Jordan is casually dressed, well groomed, cooperative, and oriented x4. Speech is normal in rate and tone. Affect is somewhat constricted but appropriate to content. Thought processes are linear and goal-directed. No delusions or hallucinations are observed or reported. Jordan denies current or past suicidal ideation, intent, or self-harm behavior.Family history is notable for an aunt with anxiety-related concerns, though no formal diagnoses are known.Jordan states the main reason for seeking help is: “I’m tired of spending so much energy on things that should be simple.”