Basic Trust vs Mistrust- Alex established mistrust during his infancy. This is because his dad and mom were unfit to parent and he was always neglected because of it. This will make it hard to Alex to trust later in life because his parents were never around for him to get close too and he went from foster home to foster home so he never grew any real relationships.
Autonomy vs Shame- I believe Alex will be a victim of shame because he was abused by his father and sent to foster homes constantly. These events in his early childhood will make him feel shame because I assume he always felt like he was doing something wrong because he was abused or shipped away constantly. When things like that continually happen and nobody can give you a reason you may think it's you.
Initiative vs Guilt- Alex was a victim of guilt during his childhood. I believe this is also caused by the abuse his father gave him. He is a guilt victim because he always feels like he did something wrong due to the fact that his parents were neglectful and showed no love for him.
Identity vs Confusion- Although Alex had a rough childhood I believe by the time he was a teenager he began to find himself. He knew that he wanted to go to college and that he wanted to go to medical school to be a surgeon. He dreamed of becoming a plastic surgeon and later he did become a surgeon but in pediatrics. This shows identity because Alex wasn't confused about who he was or what he wanted to do, but instead he knew exactly who he was.
Intimacy vs Isolation- I believe Alex is Intimate because he has multiple relationships in the show. He was married and had many other relationships along the way. Although, most of his relationships ended badly he never stopped trying to have a relationship that would last and he could be in for the rest of his life. I think that the mistrust in the earlier stage may of been part of the problem in some of his relationships because he found it hard to trust them or get close to them because he was never close with anyone.
Generativity vs Stagnation- Alex is very caring toward his significant others, friends, and all his patients. You have to be caring to work in pediatrics. He is always there for his friends when they need someone and he will do anything to protect his girlfriend and make her happy. It would be hard to work with infants and children if you were cold hearted and not caring in some way.
Integrity vs Despair- It is hard to assume which one Alex may feel in the future. It is possible he will feel integrity because of all his accomplishments and what he has over come, but he could also feel despair. Despair could be brought on because of reminders of his early childhood or even how he acted toward some people in his teenage and young adult ages.