Psychotherapeutic Session Plan for Patient Experiencing Numbness Due to PTSD
Duration: 60 Minutes
Main Focus: Addressing trauma and PTSD
Patient Mood: Numb
Patient Engagement: Neutral/indifferent
Technique: Mindfulness and grounding exercises
Session Outline
1. Introduction and Session Goals (5 minutes)
- Greeting and Check-In: Welcome the patient and engage in brief small talk to foster a sense of safety.
- Session Objectives: Explain the purpose of today's session, emphasizing that it will focus on exploring feelings of numbness and how to begin addressing past trauma.
2. Mindfulness Exercise (10 minutes)
- Guided Mindfulness Practice:
- Introduce a simple mindfulness exercise aimed at increasing present-moment awareness.
- Instructions:
- Find a comfortable seated position.
- Close the eyes, or keep them gently focused on a point.
- Take three deep breaths, inhaling through the nose and exhaling through the mouth.
- Focus on the sensations of breathing—how the air feels entering and leaving the body.
- Gently guide attention to any thoughts or feelings that arise; observe them without judgment.
- Debrief: Discuss how it felt during the exercise, encouraging the expression of any thoughts or sensations experienced.
3. Exploration of Numbness (15 minutes)
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Open-Ended Questions:
- Encourage the patient to explore their feelings of numbness:
- “Can you describe when you first began to feel this way?”
- “What situations or thoughts amplify this feeling?”
- Listen actively, validating their experiences and feelings.
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Identifying Triggers:
- Help the patient identify potential triggers for their numbness, discussing any recent events or stressors.
4. Grounding Technique (10 minutes)
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Introducing Grounding Techniques:
- Explain the importance of grounding in reconnecting with the present moment.
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5-4-3-2-1 Grounding Exercise:
- Guide the patient in this exercise:
- 5 Things You Can See: Encourage scanning the room and naming five objects.
- 4 Things You Can Feel: Invite the patient to notice textures, such as the chair or their clothes.
- 3 Things You Can Hear: Prompt them to listen for ambient sounds.
- 2 Things You Can Smell: Ask them to identify scents in the room (if applicable).
- 1 Thing You Can Taste: Encourage them to reflect on any lingering taste in the mouth.
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Debrief: Discuss how the exercise impacted their feelings of numbness, encouraging honest reflections.
5. Developing Actionable Steps (15 minutes)
6. Session Closure and Homework (5 minutes)
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Summary of the Session:
- Recap the mindfulness and grounding techniques practiced, emphasizing their potential benefits in managing numbness and trauma.
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Assign a Homework Task:
- Encourage the patient to practice the 5-4-3-2-1 grounding exercise at least once a day until the next session. Suggest keeping a journal documenting any changes in their feelings of numbness.
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Closing Remarks:
- Thank the patient for their participation and openness during the session. Invite any final thoughts or questions before concluding.
Note: Ensure to progress according to the patient’s level of comfort and engagement, adjusting the session's content as needed based on real-time feedback.