Client came regularly to sessions for the first two weeks (4 sessions) then attendance became irregular as she began to miss one of the two weekly appointments every other week. Therapist addressed avoidance with the client and attendance improved.
Client accounted the traumatic event twice during treatment but each in different sessions as per directed by the CPT protocol. Prior to each account, client was asked to write about the event in great detail, including thoughts and emotions associated with the memory. As client was reading his assignment and remembering the event, the therapist was listening and identifying potential stuck points that were addressed with Socratic questioning right after the each accounting and in the following sessions. …show more content…
After the client finished the second remembering process, the therapist discussed similarities and differences between the patient's thoughts and feelings at the time of the trauma and now. For the rest of treatment therapist continued to challenge self-blame and other negative cognitive patterns using Socratic dialogue and problem solving techniques. CPT’s protocol was not fully completed because of lack of time. The main reason for not completing the protocol were periods of poor attendance, inclusion of “off track” topics, and client’s difficulties to overcome some of her stuck