PSYCHVINE

Category: Communication

Mashed potatoes—one of our favorite holiday foods.  Green bean casserole, yum.  Turkey, a must along with the required stuffing.  Cranberry sauce, naturally.  Piping hot rolls with loads of real butter, just the thought makes our mouths water.  Pies in abundance—pecan, apple, cherry, sweet potato (with marshmallows of course) and pumpkin with whipped cream.  It’s so easy to overindulge and costs can include discomfort, bloating, fatigue, and regret.  For most people, they consider it a one day binge and well worth…

 “Hello, Fred. Welcome back,” Dr. Smelt says as she ushers Fred into her office.   “Thanks for seeing me so quickly. I’m surprised you work on Black Friday. Does that mean the session is half price?”   Dr. Smelt laughs, “Actually, I find that this time of year is especially busy. And I hate to shop in crowds. So, Fred, last time I saw you was several months ago. You cancelled your last appointment and then didn’t make any further ones. What…

Earlier in the session, Dr. Smelt suggested that Fred’s self view of being stupid might not be accurate. Here’s what transpires next: Fred smirks, “Oh sure, we can look at other ways to view this, but I do believe I’m right.” Dr. Smelt notes, “Let’s not turn this into a contest of who’s right. How about instead, I give you a series of questions to think about and then see if you look at your thoughts differently once you consider…

Dr. Smelt and Fred discuss thought sheets for the first half of session four. He begins to see how situations, thoughts, feelings, and more reasonable thoughts link together. Dr. Smelt then remembers that Fred had begun this session with noting a problem at work. Therefore, she says, “Now that we’ve gone over this first thought sheet, I’m wondering if you’d like to tackle the second agenda item you mentioned at the start of this session?” “Oh, yes. I suppose we…

During session 3, Dr. Smelt helped Fred understand the connection between his thoughts and feelings. Fred agreed to complete several written exercises called thought sheets during the week. Today he brings into the session his first efforts. The following session segment shows how Fred deals with his assignment. “Good morning Fred,” Dr. Smelt begins, “I think we’re moving to the point where outlining a goal or two each session makes sense. What would you like to accomplish today?” Fred says…

In previous session excerpts, Dr. Patricia Smelt paid close attention to the therapeutic alliance which she felt needed nurturance. That’s because her client, Fred, was court ordered to therapy for anger issues and demonstrated defensiveness. Let’s pick up a segment of session 3. Fred arrives at this session steaming, “Alright, doctor, now I have a real problem. My boss told me yesterday that I need a new attitude. Unbelievable. I work harder than anyone there and yet ‘I’ have an…

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