Psychotherapeutic Session Plan
Duration: 30 minutes
Patient Mood: Anxious
Main Condition: Non-specific
Technique: Cognitive Behavioral Therapy (CBT)
Patient Engagement: Neutral or indifferent
Session Outline
1. Introduction (5 minutes)
2. Identifying Anxious Thoughts (10 minutes)
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Thought Exploration
- Ask open-ended questions to identify specific thoughts contributing to feelings of anxiety.
- Examples of questions:
- “What thoughts come to mind when you feel anxious?”
- “Can you recall a specific situation where you felt this way?”
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Cognitive Distortions
- Introduce the concept of cognitive distortions (e.g., catastrophizing, all-or-nothing thinking).
- Provide examples and ask the patient if they relate to any of these distortions.
3. Challenging and Reframing Thoughts (10 minutes)
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Thought Records
- Introduce a simplified version of a thought record.
- Ask the patient to identify one anxious thought and write it down.
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Cognitive Restructuring
- Guide the patient to challenge the thought with questions such as:
- “What evidence supports or contradicts this thought?”
- “How would I respond if a friend had this thought?”
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Reframing
- Encourage the patient to reframe the thought into a more balanced perspective.
- Example: Changing “I will fail this task” to “I have prepared well, and I can manage this task.”
4. Coping Strategies (5 minutes)
5. Homework Assignment (5 minutes)
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Thought Record Homework
- Assign the patient to practice a thought record at least three times before the next session.
- Encourage them to identify, challenge, and reframe any anxious thoughts that arise.
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Reflection
- Ask the patient to reflect on how applying these techniques impacted their feelings of anxiety.
6. Closing (5 minutes)
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Session Summary
- Recap key points discussed during the session.
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Encouragement
- Reinforce the progress made and encourage the patient to practice coping techniques.
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Next Steps
- Schedule the next session and remind the patient to bring their thought records.
Additional Notes
- Pay attention to the patient’s non-verbal cues and adapt the session’s pace accordingly.
- Remain flexible in addressing any unexpected topics the patient may wish to discuss, maintaining a supportive atmosphere.
End of Session Plan