The most pressing problem is obviously work-related stress (Matteson & Ivancevich, 1987). The pressure of managing more and more people made David more prone to anxiety and his sleeping problems. Another risk factor is his large blended family. David must provide for his five children and his wife, at least to some extent. In addition, certain family dynamics are more difficult for David's family than for a non-blended family. For example, having to care for your ex-wife and having two stepchildren who have severe learning disabilities. Factors that could make David's condition worse include his sleep, back pain, and drinking habits. The less he sleeps, the more difficult it will be to reconcile work and family. Additionally, his drinking may become a problem, as he does it every day so he can fall asleep. Information that would be helpful in determining other risk factors includes whether or not he pays child support, his annual salary, and his family's health.