PSYCHVINE

Category: Goal setting

 “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…

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 the blog, Session 3.5, Dr. Smelt and Kimberly discovered that much of Kimberly’s anger with her boyfriend seemed to originate in grief and anger concerning her previous ex as well as her son. Sometimes people find that anger is easier to feel than sadness. But acknowledging what’s truly going on, helps pave the way toward more realistic, non-angry thoughts. They continue: “Hey, Dr. Smelt,” as Kimberly begins session four, “I wanted to tell you that last week’s session really…

During Kimberly’s second session (which appears in blogs labeled Session 2, Session 2.5, and Session 2.75), she endorsed a goal of learning to communicate more effectively with her boyfriend, Ray. She expressed ambivalence about another goal—looking at how her thinking may be causing her to feel excessive anger. Many people with anger problems demonstrate reluctance to accept responsibility for their behavior. However, Dr. Smelt was not entirely sure about the nature of Kimberly’s anger and where it may be coming…

In the previous session, Dr. Smelt discussed a few of the essential premises that underlie cognitive behavioral approaches to therapy. She also collaborated with Kimberly in coming up with a couple of goals for getting therapy started. “Good morning, Kimberly. How are you today? Have you had a chance to think about the goals we discussed last week?” Dr. Smelt asks. “Yes,” Kimberly replies, “in fact I had a situation last weekend that really got me mad that I’d like…

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