Psychotherapeutic Session Plan
Session Length: 30 Minutes
Patient Mood: Stressed
Main Condition: Not specific
CBT Technique: Cognitive Behavioral Therapy
Patient Engagement: Neutral/Indifferent
Session Objectives
- To help the patient explore sources of stress.
- To identify cognitive patterns contributing to the patient's current state.
- To introduce basic coping strategies using CBT principles.
Session Outline
1. Introduction and Rapport Building (5 minutes)
- Greet the patient and establish a safe and comfortable environment.
- Brief check-in: Ask the patient how they have been feeling and acknowledge their stress.
2. Exploration of Stress Sources (10 minutes)
- Prompt Questions:
- “Can you describe what has been causing you stress lately?”
- “Are there specific situations or thoughts that trigger your stress?”
- Active Listening: Use reflective statements to show understanding (e.g., “It sounds like you’re feeling overwhelmed by….”).
- Validation: Let the patient know that feeling stressed is a common experience and it’s okay to talk about it.
3. Cognitive Patterns Identification (10 minutes)
- Introduce the concept of cognitive distortions:
- “Sometimes, our thoughts can be influenced by negative patterns. Are there any recurring thoughts you’ve noticed?”
- Examples of Cognitive Distortions:
- All-or-Nothing Thinking
- Catastrophizing
- Overgeneralization
- Together with the patient, identify any cognitive distortions in their thinking.
- Use a thought record to help the patient articulate their thoughts and feelings around a specific stressor.
4. Coping Strategies Introduction (5 minutes)
- Cognitive Restructuring:
- Encourage the patient to challenge distorted thoughts.
- Example: “If you think, ‘I can’t handle this,’ we can explore ways that you have managed similar situations before.”
- Mindfulness Exercise: Briefly guide the patient through a simple mindfulness exercise (e.g., focusing on their breath for a minute).
- Homework Assignment: Suggest keeping a “thought diary” for a week, noting stressful thoughts and their responses.
5. Conclusion and Wrap Up (5 minutes)
- Summarize the session: Reflect on the exploration of stressors and cognitive patterns identified.
- Reassure the patient that it's a process and it's normal to feel indifferent at times.
- Schedule the next session and express anticipation to continue working together.
- Encourage them to reach out if they need support before the next scheduled session.
Additional Notes
- Maintain a calm and supportive tone throughout the session.
- Pay attention to non-verbal cues from the patient to gauge their engagement and comfort level.
- Adapt the exercise based on the patient's responsiveness; adjust the pace if necessary.
This session plan is designed to promote self-awareness and encourage engagement in therapeutic techniques while being adaptable to the patient's mood and level of participation.