Session Note Example
Topics/Issues Discussed
Client and counsellor reviewed updates in clients life since previous therapy session.
39 weeks pregnant, has random contractions.
Son has COVID - really sick; lots of anxiety around that
Client reports pitying herself
Themes & Impressions
Sickness Anxiety - gets anxiety when family members are ill
Psychological Rigidity
Lack of responding to body ; never allowed herself to just listen to bodies needs.; including hunger
Dissociative state - has lived the most of her life in a dissociative state, not fully connected to self.
Numbness
Interventions
Counsellor provided support and validation throughout.
Counsellor obtained ongoing consent to proceed with therapeutic interventions.
Socratic questioning used to challenge idea of pitying herself. Validation provided around pitying herself.
explored practical ways to listen to body; hunger cues, body check ins, breathwork.
explored function of client ignoring her body - both good and bad.
connected experiences of anxiety to polyvagal theory
psychoeducation provided on dissociation
Plan & Homework
Sessions to continue
listen to body - food cues & check ins.
Treatment Plan/Therapy Direction
Sessions & Treatment Plan To Continue
Therapist to incorporate polyvagal theory to further explore dissociative tendencies
Continue ACT for values work, CBT for anxiety management.
Case Conceptualization/Thoughts for Future Sessions
Dissociation techniques