Psychotherapeutic Session Outline
Duration: 30 Minutes
Therapeutic Approach: Cognitive Behavioral Therapy (CBT)
Patient Mood: Stressed
Patient Engagement Level: Avoidant or Defensive
Session Structure
1. Warm-Up (5 minutes)
- Objective: Establish a safe environment.
- Action:
- Greet the patient warmly, expressing availability and understanding.
- Invite the patient to share how they've been feeling recently.
- Use open-ended questions to encourage dialogue without prompting defensiveness.
2. Mood Check-In (5 minutes)
- Objective: Assess current stress levels.
- Action:
- Ask the patient to rate their stress on a scale from 1 to 10.
- Explore the sources of their stress using gentle probing questions (e.g., "What thoughts accompany those feelings?").
- Normalize their experience, making them feel heard and validated.
3. Cognitive Restructuring (10 minutes)
- Objective: Identify and challenge negative thought patterns.
- Action:
- Introduce the concept of cognitive distortions (e.g., black-and-white thinking, catastrophizing).
- Together, identify specific thoughts that arise during stressful situations.
- Encourage the patient to write down one or two of these thoughts and challenge them by asking:
- "What evidence do you have for this thought?"
- "Is there an alternative way to view this situation?"
- "How would you advise a friend in your position?"
- Conclude this portion by discussing the impact of these thoughts on emotions and behaviors.
4. Coping Strategies Discussion (5 minutes)
- Objective: Explore practical coping techniques.
- Action:
- Introduce a few simple coping strategies that can be utilized in stressful moments:
- Breathing Exercises: Instruct on a simple 4-7-8 breathing technique.
- Mindfulness Techniques: Discuss grounding techniques (e.g., focusing on the five senses).
- Encourage the patient to choose one strategy they would be willing to practice before the next session.
5. Homework Assignment (3 minutes)
- Objective: Reinforce session content and promote engagement.
- Action:
- Assign a simple task of keeping a stress diary for the week.
- Suggest they record:
- Instances of stress
- Associated thoughts
- Coping strategies they used
- Highlight its purpose for gaining insights into patterns.
6. Session Closure (2 minutes)
- Objective: Wrap up positively and prepare for next steps.
- Action:
- Recap key takeaways from the session.
- Reassure the patient that it’s okay to feel stressed and that acknowledging these feelings is a significant first step.
- Schedule the next appointment and encourage the patient to reflect on their experiences throughout the week.
Summary
This structured session aims to create a supportive environment while employing CBT techniques to help the patient address their stress. The gentle approach and consideration of their defensive engagement level will foster a sense of safety, encouraging progress towards managing their stress more effectively.