It is promising that you are viewing the cient's symptoms froma purposive perspective, and that you are aware of lifestyle dynamics. In Classical Adlerian treatment planning, before venturing to offer an opinion about treatment, we would first want to gain comprehensive views of his current situation and childhood history. After ruling out organic/medical issues, any treatment recommendations would be based primarily on an understanding of his hidden inferiorty feeling(s), fictional final goal, and scheme of apperception--and only secondarily on his symptoms. The typical questions we ask to gain a meaningful history are outlined at
http://www.Adlerian.us/quest-br.htm a guide to case presentation can be found at
http://www.Adlerian.us/pres-cas.htm and an overview of the therapeutic process is at
http://www.Adlerian.us/stages2.htm.
Also, since this public forum is not a secure setting to discuss the details of a case, I am reluctant to explore additional information or comment on specific treatment strategies.