Earned Behavior: Case Study

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Session 4
Calmly Jo arrived on time sporting a new bracelet. Cheerfully complementing her on the bracelet resulted in a confident smile, she conveyed this was her new pattern. Expressively admiration for her talent was disclosed. Supportively, questions were asked about how her week went. Jo stated that it was a bit of a roller coaster. Giving reports that some days she was tired and that some nights she had trouble going to sleep. She reported feeling teary-eyed. Discussions occurred that this is normal after disclosing trauma and that the effect is usually temporary providing treatment is continued. Sleep strategies were provided. Jo was asked if there were similarities in times when she felt teary eyed? She replied that it happened a lot in …show more content…

Jo disclosed that she was now eating more than before. Education that this was being used as a coping method was given. Validation was given that she found a coping skill, followed by education that she would need to learn some new ones so that we could change the unwanted behavior. Information was provided that it will take time, but the more replacement skills we learn, the greater success she could achieve. Handouts were provided for coping strategies. Inquiries into the journal were made. Sheepishly, Jo said that she had been writing in it, but she didn’t really know what to write. Acknowledgment was given in attempting the task and a recommendation that when she felt a powerful emotion to pay attention to it and write about what emotion it was or draw an image that comes to mind. An emotion wheel was provided for her to take home and practiced using it to increase her understanding of how she felt. Coming to the conclusion of session Jo was asked if she felt safe and supported. She replied that she did. Encouragement and self-care were reinforced and validation of her courage and dedication to work through the abuse she endured. During the session, Jo appeared to want to stay on the surface level dealing

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