Marcus was recently diagnosed with schizophrenia. He recalls that during his childhood, his mother would frequently demand that he show her affection, yet she would stiffen and pull away whenever he tried to hug her, subsequently criticizing him for being "cold and ungrateful." Marcus's family environment remains highly tense; his father routinely shouts at him for "wasting his life," while his older sister constantly monitors his text messages, manages his daily calendar without his consent, and loudly discusses his "flawed character" with their relatives. Marcus describes his mother as a cold, dominant, and highly secretive parent who ruled the household with rigid control.