Psychotherapeutic Session Plan
Duration: 30 Minutes
Patient Mood: Anxious
Main Condition: Not specific
Technique: Cognitive Behavioral Therapy (CBT)
Session Objectives
- To address the patient's anxiety by exploring and reframing negative thought patterns.
- To enhance the patient’s awareness of their feelings and emotional responses.
- To equip the patient with practical coping strategies for managing anxiety.
Session Structure
1. Introduction (5 Minutes)
- Greeting and Check-in:
- Begin the session by welcoming the patient and establishing a comfortable environment.
- Ask the patient how they have been feeling since the last session.
- Provide empathetic acknowledgment of their anxious feelings.
2. Understanding Anxiety (10 Minutes)
- Explore Current Thoughts:
- Invite the patient to describe specific situations or thoughts that trigger their anxiety.
- Use open-ended questions:
- “Can you share a recent experience where you felt particularly anxious?”
- “What thoughts went through your mind during that moment?”
- Identify Negative Cognitions:
- Help the patient recognize any distorted thinking patterns (e.g., catastrophizing, mind-reading).
- Cognitive Reframing:
- Guide the patient through reframing negative thoughts.
- Example: If a patient thinks, “I can’t handle this,” assist them in rephrasing it to, “I am capable of managing challenges.”
3. Coping Strategies (10 Minutes)
- Introduce Relaxation Techniques:
- Teach the patient a simple deep breathing exercise or progressive muscle relaxation.
- Deep Breathing Exercise:
- Inhale deeply through the nose for a count of four.
- Hold the breath for a count of four.
- Exhale slowly through the mouth for a count of six.
- Repeat this cycle for a few minutes.
- Encourage Mindfulness Practices:
- Introduce basic mindfulness techniques to help the patient become more aware of their present moment.
- Suggest the following:
- Focus on their senses: What do they hear, see, and feel in the moment?
4. Wrap-Up and Assignments (5 Minutes)
- Review Key Takeaways:
- Summarize what was discussed and highlight any breakthroughs or insights made during the session.
- Homework Assignment:
- Encourage the patient to keep a thought journal for a week:
- Record moments of anxiety, the situation, thoughts that arose, and a reframing of those thoughts.
- Invite Feedback:
- Ask the patient how they felt about the session and if there’s anything they would like to explore further in future sessions.
5. Closing (Brief)
- Thank the patient for their participation, reminding them that it is okay to feel anxious and that they are taking positive steps toward understanding and managing these feelings.
Notes for the Therapist
- Maintain a calm and supportive demeanor throughout the session.
- Validate the patient’s feelings and experiences while gently challenging any cognitive distortions.
- Keep the focus on the present and what is manageable for the patient.
This structured approach aims to provide a foundation for the patient to understand and manage their anxiety effectively while utilizing the principles of Cognitive Behavioral Therapy.