Psychotherapeutic Session Plan
Session Length: 30 minutes
Patient Mood: Irritable
Main Condition: Not specific
Engagement Level: Neutral or indifferent
Technique: Cognitive Behavioral Therapy (CBT)
Mindsets to Address: "I have to be perfect."
Behavioral Change Needed: None specific
Session Outline
1. Introduction (5 minutes)
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Welcome and Settling In
- Greet the patient warmly and encourage them to make themselves comfortable.
- Acknowledge their current mood: "I notice you seem a bit irritable today. How are you feeling right now?"
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Setting the Agenda
- Explain the purpose of the session: "Today, we will explore your current feelings and thoughts, especially around the idea of needing to be perfect."
2. Identifying Irritable Feelings (10 minutes)
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Exploration of Feelings
- Ask open-ended questions to facilitate discussion about irritability:
- "Can you tell me more about what’s been bothering you?"
- "Are there specific situations or thoughts that seem to trigger your irritability?"
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Cognitive Distortions
- Introduce the concept of cognitive distortions: "Sometimes we can have thoughts that aren't fully accurate. Do you think any of your thoughts about needing to be perfect might be distorting your view?"
- Help the patient recognize examples of all-or-nothing thinking and how it might be contributing to their mood.
3. Challenging Perfectionism (10 minutes)
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Cognitive Restructuring
- Encourage the patient to identify specific thoughts linked to perfectionism:
- "What thoughts do you have about yourself when you think you have to be perfect?"
- Guide them to challenge these thoughts:
- "What evidence do you have that perfection is necessary? What might be the consequences of trying to be perfect?"
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Alternative Thinking
- Help the patient to explore more balanced thoughts:
- "How might it feel to aim for 'good enough' instead of perfect?"
- "Can you think of examples when things didn't go perfectly but still turned out well?"
4. Developing Coping Strategies (5 minutes)
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Coping Mechanisms
- Introduce or reinforce simple coping techniques:
- Mindfulness: "Have you ever tried breathing exercises when you're feeling irritable?"
- Gratitude practice: "Consider keeping a journal of what went well each day, even if it's small."
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Goal Setting
- Collaboratively set a small, achievable goal for the week:
- "What might you try differently this week related to your feelings of needing to be perfect?"
5. Conclusion and Closing (5 minutes)
By focusing on understanding and challenging the patient’s mindset around perfectionism while validating their current mood, the session can be both productive and supportive within the 30-minute timeframe.