Pt arrived on time. Reports that she was busy today working on Guilded material. Reviewed Party Quests (online group to help with accountability). Reviewed goals she has planned out. Explored options for operationalizing her goal summary so that the counting does not become a burden. Moved on to video of her son. He had a semi-famous poker player over to his house and they posted a video. Reviewed excepts and discussed experience. Overall, it was an overly exciting event for everyone. Moved on to discussion of online friend N. Reviewed updates and how interactions have progressed. Pt feels that they are adjusting to a new routine. Pt feels she still can make more progress on her schedule. Feels that she is watching more TV (news) than she would like. Did make progress on laundry but has not kept up with dishes. Reviewed goal setting. Reviewed medical updates. Pt had tripped and fell yesterday getting up from her chair. Feeling sore today. No loss of consciousness. Reviewed use of Tylenol for pain control. She had been taking 5200mg daily. Reviewed total daily dose and options for lowering the dose while still maintaining adequate pain control. She and N worked out a plan that she agreed to. Reinforced daily limit of 3000mg. Conversation was difficult - does not want to have pain return/worsen. Also reviewed supplements she had purchased based on data from MyFitnessPal (components that were low). Writer assisted with comparing data with lab results and found that these supplements did not seem necessary. Ended session with update on son's wedding. Some part(s) are not feeling good about getting out for event. Reviewed/validated concerns. Challenged view of all negative vs. Balanced outcomes. Explored options to assist with concerns and plan for positive experiences. Agreed to check in next session about wedding plans.
Pt arrived on time. Reports not doing much "exciting" the last two days. Spending more time watching videos. Feels that she should spend less time watching but finds it hard to put it away. Reviewed journal updates. Has been keeping up with some of the questions. She completed a writing exercise that culminated in an entry on sadness. Reviewed process and explored affect. Reported feeling more sad but initially uncertain about sources. Writer offered that upcoming wedding might be a source. Feeling overwhelmed with details. Reviewed several concerns - make-up, clothes, shoes, weather, partner, schedule/itinerary. Worked though more concrete plans for how to act rather than avoid with these concerns to reduce anxiety. Challenged view of all negative vs. working towards a more balanced outcome. Explored options to assist with concerns and plan for positive experiences. Agreed to continue to discuss wedding plans in each session.