Psychotherapeutic Session Plan (30 Minutes)
Patient Overview
- Mood: Angry
- Main Condition: Not specified
- Issues to Address: None specific, general emotional regulation
- Engagement Level: Resistant or hesitant
- Mindsets to Address: "I am always going to feel this way."
- Behavioral Change Needed: Not particular
Session Outline
1. Introduction (5 Minutes)
- Objective: Establish rapport and create a safe space.
- Activities:
- Greet the patient and invite them to share how they've been feeling recently.
- Acknowledge their anger without judgment, reinforcing that it is a valid emotion.
- Briefly explain the focus of today’s session: Understanding anger through Cognitive Behavioral Therapy (CBT).
2. Exploration of Feelings (8 Minutes)
- Objective: Help the patient articulate their feelings of anger.
- Activities:
- Use open-ended questions to explore triggers for their anger. For example:
- "Can you describe a recent situation where you felt particularly angry?"
- Encourage them to express their feelings verbally.
- Validate their feelings, making sure to communicate that it’s okay to feel angry.
3. Cognitive Restructuring (10 Minutes)
- Objective: Challenge the mindset that maintains the patient’s anger.
- Activities:
- Introduce the concept of cognitive distortions and how they contribute to anger. For instance:
- "All-or-nothing thinking" — identify scenarios in their life that fit this description.
- Encourage the patient to identify any specific thoughts they have when they feel angry, using the prompt:
- “What thoughts run through your mind when you feel angry?”
- Work together to reframe these thoughts. For example:
- Change “I’m always going to feel this way” to “Feeling angry is a part of my experience, but it doesn't define me.”
4. Coping Strategies Discussion (5 Minutes)
- Objective: Provide practical tools for managing anger.
- Activities:
- Discuss mindfulness and breathing exercises. For instance:
- "When you feel anger rising, try taking deep breaths—inhale for 4 seconds, hold for 4, exhale for 4. Let's practice this together for a moment."
- Introduce the concept of creating an “anger journal” where they can write down triggers and their reactions for reflection.
5. Wrap-Up and Homework (2 Minutes)
- Objective: Encourage continued engagement with their feelings and the techniques discussed.
- Activities:
- Summarize the key points discussed in the session.
- Assign a simple homework task: Keep track of moments when they feel anger this week, noting the triggers and their thoughts surrounding those feelings.
- Schedule the next appointment and encourage them to reflect on how movement away from the belief “I am always going to feel this way” might open up new possibilities for managing their anger.
Conclusion
- Encourage patience with their progress and reiterate that feelings are transient, not permanent. Provide reassurance, reminding them that change is possible with self-awareness and effort.
Notes
- Be prepared for resistance; if the patient expresses skepticism, gently explore their concerns while emphasizing the value of the tools discussed.
This session aims to provide immediate emotional support while equipping the patient with practical CBT techniques to address their feelings of anger, enhancing their overall emotional resilience.