Therapy Transcript
Therapist: Before we get going, let me explain to you a little bit about who I am and what I do. I am a Behavioral Health Counselor. I work with primary care providers in situations where excellent health care involved paying attention not only to physical health but also to habits, behaviors, and emotions. My job as a consultant is to help you and your medical provider pinpoint, problem-related to actions that may have transpired. Therefore, I will engage you in a 25 minutes program where I will need to ask your questions concerning your life, what works, and what done a lot of work for you. After the meeting, I may meet with your care provider, and therefore, you should not be surprised if the medical provider asks you anything that is attached to this session (Summary). Do you have any questions before we begin?
Client: I do not think so
Therapist: what makes you feel so afraid when you are in school? (Open-ended question)
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Client: I am always fine when I am in class. However, I feel that my moods change when I see a group of students looking at me and murmuring words that I feel are directed towards me. On many occasions in my class or within the school compound, I feel the sense of insecurity when I pass by a group of students, and they look at me. I feel that they are looking at me because there is something wrong with me. It makes me feel so uncomfortable.
Therapist: At that situation, how exactly do you feel? Do you feel sad, worthless, or do you feel a sense of unfairness from your friend or fellow students when they look at you in a manner teasing manner? (Closed-ended question).
Client: I feel sad and helpless because I think I do not have the power and the authority to challenge them or confront them to understand what they see in me that makes them tease me.
Therapist: I sometimes understand that such situations are sensitive, but do you have any specific student whom, if you see, you feel afraid? And what makes you fearful of is, such students, when you are in school? (Open-ended question)
Client: Yes, there boys who are my classmates. On many occasions, these boys use to tease me and call me names when we were in assignment groups. When I could not get the right answer, they use to tell me how ugly I look and how fat I was. It was so painful and confusing for me, and this makes it so uncomfortable.
Therapist: From our discussion, I realize that bullying is one of the main issues that is making you so uncomfortable and afraid to go to school. You are fearful of going to class, and you have low self-esteem, mostly when you pass by your friend or some of your classmates. This character results from bullying experiences that you described having experienced when you are in your class (Reflection).
Client : You right.
Therapist : Having understood that bullying is the problem, I think we will need to discuss coping mechanisms that will enable you to cope with the pressure that comes with bullying in the next session that we will have together tomorrow. For now, I think we are on the right track having understood your problem and having understood the pressure you go through, such as being uncomfortable, feeling of unworthiness, and the sense of loneliness that you have mentioned during the session (paraphrasing).
Client: It is okay
Therapist : In the next session, we will discuss bullying, how it transpires, how to understand when you are experiencing bullying and the best ways to resists bullying or cope with it (summary)
Client : Okay
Therapist: As for now, I think we have come to an end of our first session of the therapy, and unless you have any issue, we will meet tomorrow.
Client : Thank you
Therapist: Welcome