Last time we provided you a little recap of the story, but who is David today? Our investigators found some files dating to David’s late teenage years…
Client ID/Case Number: 12589
Date of Session: August 16, 2006
Session Number: 9
Primary Reason for Therapy: David is seeking therapy for severe depression, post-traumatic stress disorder.. Problems with engaging in relationships, risk of substance abuse. Trauma seems to stem from the kidnapping at age 11.
Current Issues: David reported increased anxiety and nightmares related to his past trauma. He expressed fear of falling prone to substance abuse.
Mood & Affect: Depressed, anxious, flat affect
Client’s Progress: David attempted to use grounding techniques but reported limited success. Medication finally seemed to take the desired effect until the incident from last week. I am hopeful for the future.
Key Themes/Issues Discussed: David opened up about feeling hopeless and longing for his mother. He described a recent situation where a passerby grabbed his arm to ask what time it was, thus triggering a flashback to his kidnapping.
Interventions Applied: Cognitive-Behavioral Therapy was used to address negative thought patterns related to self-blame and worthlessness. Grounding exercises were revisited to help manage flashbacks. During the session, David was withdrawn and hesitant about therapy, but also hopeful when presented with new possibilities of medication.
Note on a margin: We were making progress, I’m not giving up on this boy.
Therapist’s Signature: Charles L. Ray
Date: August 16, 2012
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