PSYCHVINE

Tag: cognitive behavioral therapy

 “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…

Fred begins this session by asking Dr. Smelt, “How’s it going, Doc? Did you have a good week?” “Just fine, Fred. But I’d like to know how your week went.” “Nothing much happened. Work has been a real bitch though.” “I remember you work for the city in I.T. What kinds of problems have you been having?” Dr. Smelt queries. “I’m overloaded with crap. Too many meetings, too many bosses. Morale sucks. What else do you want to know?” “I…

“Before we go any further,” Dr. Smelt says, “I want to tell you a bit about confidentiality.” “No need,” Fred interrupts, “I know that bull shit. You tell me you’re like a priest, but if the judge wants to know something, you’ll tell him. That’s the real world. All this stuff about confidentiality is a way for you to get me to spill my guts. But, I’m not telling you anything that could get me into more trouble with the…

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…

Dr. Smelt begins this session by collaborating with Kimberly on an agenda. Kimberly decides she mostly wants to focus on something her boyfriend, Ray, did a few days ago that really got her upset. They also agree to review her progress to date. Dr. Smelt queries, “So, what happened that got you so upset, Kimberly?” “There was this friend of Ray’s whose dog had puppies. Incredibly, without even asking my permission, Ray goes and brings one of them home. I…

In the first part of Session 4.0, Dr. Smelt and Kimberly explore new ways to think about other people’s driving. Kimberly realized that there are healthier, alternative ways of thinking about challenges encountered while driving. She now understands that everyone, including herself, messes up sometimes and that she doesn’t need to take mistakes made by others personally.   As the session continues, Dr. Smelt shifts the focus, “You’ve made a good start at thinking about potentially upsetting events differently. That will…