Therapy Note

Date and Client ID

Date: December 3, 2050
Client ID: EW4050

Therapy Approach

The session involved Cognitive-Behavioral Therapy (CBT) with a focus on Ethan's recurring thought patterns and belief systems. The therapy was complemented with elements of Acceptance and Commitment Therapy (ACT), particularly the approach of practicing mindful behavior and acceptance towards internal experiences.

Topics Discussed

Ethan brought up feelings of insecurity and self-doubt tied to his professional life. He also manifested recurrent fears of disappointing people around him, especially his family. We spent considerable time discussing his communication issues with colleagues and upper management, and how these affect his stress levels.

Mood Observation

Ethan was cooperative and engaged throughout the therapy session. His mood appeared lower than usual, with signs of fatigue and stress. He showed some resistance when discussing personal topics but was, overall, receptive to the therapy process.

Patient Therapy Progress

Ethan has made notable progress in identifying negative thought patterns and is demonstrating improvements in coping with professional stress. However, his communication patterns suggest residual avoidance and lack of self-assertiveness, which will need further work.

Future Plan

The next session's plan will be to delve deeper into the roots of Ethan's avoidance and develop strategies to help him communicate more assertively. More specifically, we will engage in role-play exercises designed to simulate disruptive work scenarios and analyze his reactions, aiming to foster a higher level of comfort and competence in dealing with professional conflicts.

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