Pt arrived on time. Reports feeling more unsettled today connected to going out to get her hair cut/colored today in preparation for her son's wedding. It has been a while since she did this. Reviewed process and decision points. Able to narrow some choices - focus on keeping it simple, reproducible. Continues to have some lower moods related to different schedule with online friend, N. He is living in India and has been working keeping a regular schedule. She has been trying to support him by setting limits on when she will talk to him. She is feeling more down/depressed - missing him, missing time spent together. Reviewed process. Explored changes to her schedule as a result. Did look at quilt. Has a sense of where the project is. Explored next step. Explored other sources of frustration/depression. Has not been as attentive to household tasks due to schedule which has been a frustration with partner. Explored ambivalent feelings for situation (disappointment about change, missing friend, understanding need to change). Reframed to forward looking schedule - doing better for herself so she can help (be available) her friend. Reviewed options for schedule goals this week - talking out feelings as she is working on things.
Pt arrived on time. Ongoing mixed to low feelings over the last two days. Had hair cut/colored on Tues. Reviewed details. Feels it went OK overall. She had taken the outline of goals and some pictures she liked. Next day was uncertain to disappointed with the results. Today is feeling better about it. Reports having a friendly conversation with N (back to previous level of discussion). Validated process and experience. This interaction led pt to feel empowered to get back to writing. Reviewed writing updates - daily journal leading to a summary of questions on multiplicity, next steps. Reviewed updates with interactions with partner. They are communicating more directly. Pt explained more about her moods affecting her household tasks. He was understanding and gave her positive feedback for doing more yesterday. Moved on to food/exercise updates. Continues to use MyFitnessPal and recently purchased an under-desk cycle. Has been using it daily. Explored short-term goals. Continued discussion on progression of depressive thoughts/low motivation for household tasks. Did better yesterday with dishes. Would like to get to some laundry today. Reviewed options for other activities to round out her schedule.