These notes were previously written by another writer from the company, are you able to re-write as if they are entirely different notes, please remember to leave them sectioned off as ( session 1, 2, 3, 4)
During this session, the client behavior showed that there was minimal progress made in previous session. The client appeared to be both restless and tired accompanied with yeaning and rubbing eyes. The client was inattentive, played with fingers and toys. The therapist realized that despite the fact that the client had accomplished prescribed tasks, such as socializing and restructuring thoughts, client was still displaying anxiety symptoms. The best intervention was to help the client engage in relaxation practices and meditative activities. The therapist also pointed out that adopting beneficial breathing techniques would calm emotions by reducing anxiety. The client was responsive and showed a willingness to practice the recommendations. The therapist reported the achievements and challenges that were associated with the sessions for future sessions.
At the start of this session, therapist and client completed a 10-minute meditation practice to help bring calmness within the session. The client seemed really excited after completing the practice and expressed feeling relaxed, along with client physical shakes from anxiety had minimized. Reflecting on client change in medication for anxiety and behavioral concerns related toward suicidal thoughts, this therapist encouraged client to participate in meditation therapy. With this approach the therapist and client engaged in focusing the mind on a particular thought and object. The therapist engaged client in meditative therapy to enhance client awareness and an attempt to achieve a mentally clear, calm and state mind. The client was responsive and showed a willingness to practice the recommendations. The therapist noted the session’s successes and shortcomings and plans to incorporate additional meditative practices in future sessions.
The session began with recapping from topics that were discussed during the previous session, Therapist had been made aware from foster parent that client still had been experiencing some behavioral issues however there has been small/minor improves since the last time we met for a session. During previous session It emerged that the client had been observed by foster parent sending alarming messages to peer implementing through via text that she would be better off out of everyone’s life, at this time Foster parent still feels concerned by those text messages and has continued to watch client closely, client also continues to remain on cell phone restriction. Client continues to make therapist aware those messages does not indicate client true feelings, therapist again questioned client for suicidal ideations and client denied all sort of suicidal thoughts and actions toward self-harm. Therapist had client participate in cognitive restructuring and reframing activities, which involved helping client challenge and modify negative and irrational behaviors client completed a worksheet that involved reframing thinking errors and replacing those thoughts with growth mindset and fixed mindset. Therapist also decided to end the session with mindfulness meditation, the client was asked to note how the body responded after the meditation and what thoughts she experienced during the 5 min practice.
During this session, therapist and client went over topics that were discussed in the previous session. The client previously expressed after the holiday season, client felt overwhelmed with being emotionally hopeless and frustrated with past traumatic issues related to the death of both parents. This therapist encouraged client to Identify any troubling situations and take note of how those events effected his daily functioning. At first sight the client seemed unsure of how those events impacted him which required additional thinking time. The client was asked to navigate his thoughts and get rid of negative feelings, therapist encouraged the client to be mindful of his thought patterns based on recognizing and reframing from negative self-talk and thoughts. Client was re-educated on maintaining positive attitudes and how that small gesture could improve the client’s ability to cope with life stresses.
During this session, therapist reflected on behavioral issues that took place last session, the client’s behaviorisms indicated little progress from the previous session. The client seemed restless and fiddled her fingers exhibiting nervousness. This therapist encouraged client to find tiny toys in her room, forcing the client to participate in play therapy. The approach boosted concentration and alleviated uneasiness. Although the client had accomplished prescribed tasks, such as socializing and restructuring thoughts, client still presented with anxiety symptoms. Therefore, the therapist stressed engaging in relaxation practices and meditative activities. The therapist also pointed out that performing regular exercises and adopting beneficial breathing techniques would enhance the client’s self-esteem, boost confidence, and calm emotions by reducing anxiety. The client was responsive and showed a willingness to practice the recommendations. The therapist noted the session’s successes and shortcomings and plans to incorporate structured problem-solving, exposure, and interpersonal therapies in future sessions.
During this session, this therapist utilized (CBT) as the technique in addressing the client’s problems. CBT was appropriate since the client clinical presentations exhibited anxiety and depression. The client expressed after the holiday season feeling overwhelmed with hopelessness, frustration, and emotional distress due to death of parents. Identifying these troubling situations helped us establish goals on how to address them. The first approach was to eradicate negative feelings as they immensely affected the client mood and behavior. This therapist urged the client to be conscious of undesirable thought patterns based on the cognitive restructuring framework that recognizing and reframing unproductive opinions to productive ones. Client was educated on the fact that a positive attitude would improve the client’s ability to cope with life stresses. The therapist recapped the previous session when reminding the client to minimize social media usage and instead socialize with friends/family, to avoid loneliness and boosts happiness and overall mental health.
The session began with recapping previous activities about anxiety-related issues. However, It emerged that the client had been observed by foster parent sending alarming messages to peer implementing through via text that she would be better off out of everyone’s life. Foster parent was very frightened by those text messages and client was placed on cell phone restriction. At the time of this session, client initially denied sending those messages but later admitted to actually sending those disturbing messages and claimed to had sent them to seek attention from peer. Client expressed a big liking into the peer but expressed they were friends. Client made therapist aware those messages did not indicate client true feelings, therapist questioned client for suicidal ideations and client denied all sort of suicidal thoughts and actions toward self-harm. Therapist utilized CBT approaches, such as cognitive restructuring and reframing, which involved helping client challenge and modify negative and irrational behaviors. The activity was followed by client journaling her thoughts and utilizing the recording technique, the client was asked to note how the body responded whenever client had thoughts to make irrational decisions.
The session began with recapping previous activities about anxiety-related issues. It emerged that the client and therapist had achieved goal consensus regarding reframing thought patterns. However, upon assessing the client mood, this therapist noticed that client was still troubled with fear. Therapist utilized CBT approaches, such as guided discovery, which involves acquainting oneself with client’s viewpoints then asking questions that challenge their mindset. The activity was followed by the journaling and thought recording technique, whereby the client noted how their body responded whenever they had negative perceptions. The session’s goals were achieved since the client accomplished assigned tasks successfully.
During this session, this therapist encouraged the client to share their thoughts and feelings to enhance the therapeutic relationship. The client’s behavioral reactions depicted that they had gained self-awareness regarding their unpleasant actions. The client asserted that they experienced difficulty sustaining focus during lectures and often wandered off tasks. The client also pointed out that it was problematic to perform domestic chores due to a lack of willpower. However, the therapist noted that the client self-care attitude had declined. The therapist urged client to engage in mindful meditation and positive venting to let out automatic negative thoughts. This therapist also encouraged the client to seek help from OCH staff or placement family if client continues to struggle with daily self-care chores.
During this session, client appeared overwhelmed by school being transitioned from in person to telehealth services and feared slipping behind. The contributing factors were having emotional issues with the thoughts of also getting the news that client did not make the volleyball team.
The therapist noted that the client’s emotional state appeared agitated, client sat with a hooded jacket, barely making eye contact with therapist, and could not stop moving fingers that were in front of her chest. During the session the therapist focused on helping the client expand her problem-solving capacities and emphasized on helping her develop greater trust in the therapeutic setting. The ongoing treatment plan includes addressing problematic coping strategies, supportive assistance and crisis management.
During the session, client presented in a fair mood. The client expressed that improving his academic performance since there was a need to work harder to achieve an extra credit for the same as the semester was coming to an end. The client worked with his professors and other individuals on the missed assignments. This therapist inquired about client current health conditions, including the comfortability due to placement, the client claimed to have spent most time alone at home. However, therapist advised the client to nurture friendly relationships with other scholars while in the school and maintain the recommendable associations and boundaries. In addition, the client agreed to take lunch while in the company of other peers and socialize simultaneously. This therapist believes that this small adjustment would enable the client to feel secure and build on the social life. This client was also encouraged to seek OCH staff and/or placement family for any necessary assistance if needed.
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