In assessing Payton’s intermediate beliefs, Payton has the all or nothing attitude. She didn’t believe that she had to follow to the rules and will do what she wants. Payton now though also …show more content…
Payton has also self-harmed and used substances in the past to cope with her trauma, anger, and guilt she that deals with on a daily basis.
Payton has displayed and currently at times displays oppositional defiance when given directives, attitude, and the attitude of knowing more than others even though she is still a child. Also Payton continues to display suicidal ideations with acting out and holding in her anger towards her family, while shrugging it off. Peer interaction is also still difficult for Payton to manage due to her hypervigilence and mistrust towards others.
Typical automatic thoughts for Payton are: “I am to blame”, “If I hadn’t of done this”, victim role, “No one cares”, and “Life is better without her”.
There are extreme concerns that Payton is still expressing her emotions negatively. Payton has stated that her sadness turns into anger. She also expressed that she has no close confidents and superficial relationships, and does not have any emotions about anything, because she does not like the way it feels stating “I don’t like feeling happy, or sad. I just like to feel there.” Payton also indicated that she just wants people to stop touching her. Payton also often times during session will shut down and agree with whatever you are saying or family is saying just to appease instead of expressing