Psychotherapeutic Session Plan (30 Minutes)
Session Overview
Duration: 30 minutes
Patient Mood: Anxious
Main Condition: Not specific
Patient Engagement: Distracted or unfocused
Technique: Cognitive Behavioral Therapy (CBT)
Mindset to Address: "I cannot do anything right"
Behavioral Change Needed: None specified
Session Goals
- To help the patient identify and challenge negative thought patterns related to anxiety.
- To increase the patient’s focus and engagement during the session.
- To promote coping strategies through cognitive restructuring.
Session Structure
1. Introduction (5 minutes)
- Greeting and Rapport Building: Start the session with a warm greeting. Acknowledge the patient’s anxious mood and express understanding.
- Session Overview: Briefly explain the structure of the session. Emphasize that the focus will be on identifying thoughts that contribute to anxiety.
2. Mindfulness Exercise (5 minutes)
- Grounding Technique: Guide the patient through a simple grounding exercise to enhance focus.
- Instructions:
- Ask the patient to take a few deep breaths—inhale for a count of four, hold for four, exhale for four.
- Encourage them to notice their surroundings (5 things they can see, 4 they can feel, 3 they can hear, 2 they can smell, and 1 they can taste).
- Purpose: Help bring their attention to the present moment and decrease feelings of anxiety.
3. Identifying Negative Thoughts (10 minutes)
- Thought Exploration: Ask the patient to share specific situations where they feel they cannot do anything right.
- Challenge the Thoughts:
- Cognitive Restructuring: Introduce the ABC model (Activating event, Beliefs, Consequences).
- Example: If the patient says, “I failed at my presentation,” discuss:
- A (Activating event): The presentation itself.
- B (Belief): “I cannot do anything right.”
- C (Consequences): Feelings of anxiety and self-doubt.
- Encouragement: Guide the patient to come up with alternative, more balanced thoughts. For example, “I made mistakes, but I also had some good points.”
4. Coping Strategies (5 minutes)
- Introduce Coping Techniques: Share basic coping strategies for dealing with anxiety that the patient can use in daily life.
- Examples:
- Deep Breathing Exercises
- Positive Affirmations (e.g., “I can learn from my mistakes.”)
- Journaling to express feelings.
- Ask for Engagement: Encourage the patient to pick one strategy they would like to try over the next week.
5. Feedback and Closing (5 minutes)
- Encouragement to Share Insights: Ask the patient how they felt during the session and if there were any takeaways.
- Set Goals for Next Session: Encourage the patient to keep a log of instances when they feel anxious and challenge their thoughts before the next appointment.
- Closing Remarks: Reinforce that it's normal to experience anxiety and that they are taking important steps to address it.
Conclusion
This session plan is designed to help the patient address their anxiety, improve their focus, and modify negative thought patterns using Cognitive Behavioral Therapy techniques effectively within a 30-minute timeframe.