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6842 Lebanon Road Suite 103, Frisco, TX, 75034 · (972) 380-1842
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CLINICAL SUMMARY
Neha Joshi-Mogul, DOB 06/03/1985
Dates of Service: 03/20/2018, 06/08/2018, 08/09/2019

To Whom It May Concern:

I saw Neha Joshi-Mogul clinically on 3 occasions, the dates of which are indicated
above. Neha presented with concerns about her marriage. During our initial
sessions in 2018, Neha indicated that while she loved her husband of 7 years, she
was unable to trust him and was indecisive about whether to end the marriage, or
move forward with having a child and starting a family. Neha described ongoing
problems with the family dynamics with their respective families of origin, and
indicated that there were cultural differences that made the decision to move
forward with a pregnancy uncomfortable for her. Additionally, Neha described her
husband as “emotionally cruel”, and described cycles of anger and emotional
withdrawal followed by cycles of reconciliation and promises made by her husband,
which were ultimately broken. Neha expressed concerns about bringing a child into
this environment, and described an ongoing power struggle between her and her
husband over naming a future child, and over how the child would be raised
culturally.

After these first 2 sessions, I encouraged Neha to consider the costs of ending the
marriage versus the costs of continuing the marriage and starting a family. We
discussed the classical cycle of abuse, and I encouraged Neha to read “Should I Stay
or Should I Go, Surviving a Relationship with a Narcissist” by Dr. Romani Darvasula.

Approximately 14 months later, Neha returned for one appointment during which
she indicated that she was pregnant. She expressed joy about the pregnancy, an
improved dynamic at home and hope for the future, but also expressed continued
concerns about her husband’s behavior, and a fear that his cruelty toward her would
return once the baby was born.

Sincerely,
Kimberly K. Johnston, MA, LMFT

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