Case studies/Behavioral Health

Mark · Behavioral Health

Rebuilding life after divorce

Mark felt adrift and purposeless after a difficult divorce. Through Pacific Health's behavioral health team, he gained insight into his grief, uncovered his resilience, and rebuilt forward momentum.

Service line

Behavioral Health

Duration

12 weeks of structured care

Location

Orange County, CA

Outcome

12 weeks to stability

By the numbers

Outcomes that prove it.

14 → 4

PHQ-9 score

From moderate depression to minimal symptoms.

4h → 7h

Average nightly sleep

Measured weekly across the program.

12

Sessions completed

100% attendance, zero no-shows.

100%

Reported readiness to step down

Self-reported on PHG outcomes survey.

Background

Where the member started.

Mark, 47, was referred to behavioral health by his PCP after disclosing low mood, disrupted sleep, and a sense of being 'completely lost' three months into a contested divorce. He had no prior mental health treatment history and was skeptical of therapy.

The challenge

What stood in the way.

  • Acute grief layered with mild-to-moderate depressive symptoms (PHQ-9 score of 14).
  • Disrupted sleep averaging 4 hours per night.
  • Social withdrawal from longtime friend group and adult children.
  • Skepticism about therapy and concerns about confidentiality.

Our approach

How we built the plan.

  • A matched therapist with experience in life-transition grief, not a generic intake queue.
  • Weekly individual sessions paired with a structured behavioral activation plan.
  • Sleep hygiene and brief CBT-I protocol delivered alongside grief work.

The solution

Step by step, what we actually did.

  1. 1

    Weeks 1–2 — Therapeutic match and stabilization

    Paired with a clinician within 5 business days; established safety plan and sleep baseline.

  2. 2

    Weeks 3–6 — Grief processing and behavioral activation

    Weekly sessions plus a daily values-based activity prescription rebuilt structure and meaning.

  3. 3

    Weeks 7–10 — Skills consolidation

    CBT-I improved sleep to 7 hours/night; cognitive restructuring addressed self-blame narratives.

  4. 4

    Weeks 11–12 — Step-down and relapse prevention

    Transitioned to biweekly maintenance with a written relapse-prevention plan and peer support referral.