aidemia--modules-session_ideas_request	Provide some idea(s) for a psychotherapeutic session -
What length (min)	30
Patient mood	Angry
Patient condition	Not specific
Relevant challenges	Nothing in particular
Therapeutic technique	Cognitive Behavioral Therapy
Use coping techniques	No particular
Patient engagement	Distracted or unfocused
Patient assignment	Nothing specific
Specific mindset	I am worthless
Needed behavioural change	No particular
Any other preferences

Psychotherapeutic Session Plan

Session Overview

Duration: 30 Minutes
Therapeutic Approach: Cognitive Behavioral Therapy (CBT)
Patient Mood: Angry
Current Engagement: Distracted or unfocused
Mindset to Address: "I am worthless."
Required Behavioral Change: None specific

---

Objectives

1. Acknowledge and Validate Emotions: Help the patient recognize and accept their feelings of anger.
2. Challenge Negative Thoughts: Address the mindset of worthlessness by reframing negative automatic thoughts.
3. Establish Focus: Use grounding techniques to improve engagement during the session.

---

Session Breakdown

1. Opening (5 Minutes)

• Welcome and Check-in:
  • Greet the patient warmly and express concern regarding their recent mood.
  • Ask about their week and any specific triggers for their anger.

2. Grounding Exercise (5 Minutes)

• Quick Grounding Technique:
  • Five Senses Exercise:
    • Ask the patient to take a deep breath and identify:
      1. 5 things they can see
      2. 4 things they can feel
      3. 3 things they can hear
      4. 2 things they can smell
      5. 1 thing they can taste
  • This technique helps bring the patient into the present moment, improving focus and engagement.

3. Exploring Anger (10 Minutes)

• Discussion:
  • Allow the patient to express their anger without interruption.
  • Ask open-ended questions like:
    • "What specific thoughts arise when you feel angry?"
    • "Can you describe how this anger manifests in your daily life?"
• Identify Triggers:
  • Work together to identify patterns or triggers related to their anger.

4. Cognitive Restructuring (5 Minutes)

• Challenging Negative Thoughts:
  • Introduce the concept of cognitive distortions and how they relate to feelings of worthlessness.
  • Guide the patient to identify one negative thought linked to their anger, e.g., "I am worthless."

Example Questions:

• "What evidence do you have that supports this thought?"
• "Can you think of times where this might not be true?"

5. Reframing Exercise (3 Minutes)

• Positive Reframing:
  • Encourage the patient to create a counter-statement to their negative thought.
  • For instance: Change "I am worthless" to "I have value and worth, even when I'm angry or upset."

6. Closing and Homework (2 Minutes)

• Summarize the Session:
  • Reflect on insights gained during the session and emphasize progress, no matter how small.
• Assign Homework (if appropriate):
  • Ask the patient to keep a journal this week, noting moments of anger and the thoughts associated with them.

---

Conclusion

End the session by reassuring the patient of their strengths and the importance of self-compassion. Encourage them to bring their journal to the next session for continued work on their thoughts and emotional responses.