PSYCHVINE

Category: Relationships

 “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…

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…

The following is a second excerpt from Fred’s court referred psychotherapy. Dr. Smelt continues to grapple with achieving a better therapeutic relationship with Fred who remains resistant to this point. Dr. Smelt asks for more information, “Fred, tell me a little bit more about your feeling of embarrassment. Do you feel that way because you’re coming here to see me or is there more?” “I really don’t mind coming to this office all that much. I realize that lots of…

Only rarely would Dr. Smelt take a referral from the courts. She tended to avoid clients with questionable motivation for therapy which she often found to be the case with such referrals. However, today she makes an exception because the judge made a special plea for her to see this particular patient. The background information that Dr. Smelt received from the court included some of the following: Client name: Fred J. Age: 44 Background information: Fred was arrested for the…

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…

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