Psychotherapeutic Session Plan
Session Length: 30 minutes
Main Technique: Cognitive Behavioral Therapy (CBT)
Patient Mood: Overwhelmed
Current Engagement Level: Neutral/Indifferent
Session Outline
1. Introduction (5 minutes)
- Greet the patient and create a safe, welcoming environment.
- Briefly explain the purpose of today's session and the use of CBT to address feelings of being overwhelmed.
- Encourage the patient to share their thoughts and feelings about their current mood.
2. Identifying Triggers (10 minutes)
- Questioning:
- Ask the patient what situations or thoughts contribute to their feelings of overwhelm.
- Probe any specific thoughts that might be creating a negative loop (e.g., “I can’t handle this,” “There’s too much going on”).
- Reflection:
- Encourage the patient to reflect on how often these thoughts occur and the intensity of the feelings associated with them.
- Technical Concept Introduction:
- Introduce the concept of cognitive distortions (e.g., catastrophizing, all-or-nothing thinking) as it pertains to their feelings of overwhelm.
3. Cognitive Restructuring (10 minutes)
- Identifying Cognitive Distortions:
- Work with the patient to identify specific cognitive distortions they may be experiencing.
- Challenging Negative Thoughts:
- Guide the patient through questioning these thoughts:
- “What evidence do I have for this thought?”
- “What would I say to a friend who had this thought?”
- “Is there a more balanced, realistic way to view this situation?”
- Reframing:
- Assist the patient in reframing their thoughts. For example, shifting from “I am overwhelmed” to “I am managing many things, and it’s okay to ask for help."
4. Coping Strategies (5 minutes)
- Breathing Exercise:
- Introduce a simple breathing technique to help the patient manage feelings of overwhelm in the moment:
- Inhale deeply through the nose for a count of four.
- Hold for four counts.
- Exhale slowly through the mouth for a count of six.
- Repeat this cycle three times.
- Grounding Techniques:
- Suggest finding the ground beneath their feet or focusing on their senses to anchor them in the present moment.
5. Wrap-Up and Homework (5 minutes)
- Review key points of the session:
- Summarize what was discussed, focusing on identification of negative thoughts and reframing strategies.
- Homework Assignment:
- Ask the patient to keep a “thought diary” over the next week, noting instances of feeling overwhelmed, the thoughts leading to those feelings, and any alternative thoughts they can come up with.
- Encouragement:
- Encourage the patient to practice the breathing exercise whenever they start to feel overwhelmed.
- Schedule Next Session:
- Discuss scheduling the next session and any expectations moving forward.
6. Closing
- Thank the patient for their time and openness.
- Remind them that it’s okay to feel overwhelmed and that they are taking proactive steps to manage their feelings.
By following this structured yet flexible approach, the patient can better understand and cope with their feelings of overwhelm, making meaningful progress in their therapeutic journey.