Pt arrived on time. Partner's family are staying with them and were present in the background. Dogs are getting along better which is progress. Reviewed several interactions. Reviewed updates to schedule and writing. Has been able to keep up with notes/schedule. Expressed some uncertainty about options for next part to review/summarize. Validated process and being successful in creating a succinct summary. Reviewed several session items - news items, interactions with family - - overall going well, had one uncomfortable interaction around food/diabetes concern. Returned to discussion of dog interactions and watched several videos. Had PCP pre-op visit. Reviewed plans for procedure next week, how to ask for help with difficult part of maneuvering. Returned to review of writing process - excited to continue work, looking forward to next steps, some worries about being able to sustain process. Discussed goals - better self-awareness, legacy material, helping others. Explored thoughts/feelings about keeping up and , having confidence about the work. Validated grounding practices - committing to talking about things, working to understand the process, staying in the moment. Reviewed writer's leave next week.
Pt arrived on time. Reviewed interval updates. Partner's daughter and husband had been staying with them in prep in for partner's surgery. There were several interactions that were frustrating - connected with daughter stepping in an aggressive/hysterical manner, assuming control. Some periods of time were OK. Dogs got along for the most part but took a lot of time out of the day. Processed events and worked to contextualize daughter's behavior, explored developmental perspectives. Reviewed how she could plan for daughter's return for the surgery. Pt has spoken to partner about process and confirmed his values/wishes for decision making. Moved on to emails from BJ - explored mixed feelings about the relationship, replying to his message received, what she wants the relationship to look like and explored how this could impact her writing. Did not have enough time to reach a conclusion and set topic to the side with plans to resume next session. Ended with discussion of health/fitness updates. Received a new watch, phone, and has been able to track more data. Working on schedule to increase activity.
Pt arrived on time. Reports that she has been staying busy with uploading slide decks of book chapters. Has not written in 4 days. Able to make a connection with recent contact from BJ. Has been thinking about it at times, but mostly avoiding thinking about which is likely how the writing stalled. Talked to N about the situation who recommended not responding. Reviewed current thoughts about relationship - mixed feelings with some parts having positive feelings, some with negative/avoidant. Recognizes that she is trying to control his access to her material. Explore potential scenarios and how they would change how she writes (content vs. availability). Able to identify that some parts feel that they owe him. Briefly reviewed these thoughts/feelings. Challenged assumptions about debt owed and helping parts learn/see larger picture of the relationship with the goal of clarifying the decision. Had a break for medications and delivery. Returned with setting a goal to try do some writing and how this could work. Moved on to updates with writing. Reviewed process for updating/uploading current chapters. Finished with updates on new phone and watch with plans on how to use the data.