Problems
Consider the problems with only applying a conventional perspective
Since Jim is experiencing a lot of stressors in his personal and work life, and reports additional physical symptoms, it might be best to recommend a treatment that can be effective for the reduction of both his elevated blood pressure and stress level. Given the strong association shown between hypertension and personality variables (e.g., Type A, hostility), psychological stress and work conditions, it is likely that a course of medication will not be maximally effective unless other factors in Jim's life also change. Since the external circumstances that are causing Jim's stress are unlikely to change quickly (i.e., the family stage of adolescence endures for several years and the job demands will not decrease), Jim would benefit from learning how to minimize his stress, which, in turn, may reduce his blood pressure. In this situation, it would be remiss to only consider recommending a conventional pharmacological approach to treatment.