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1-9, What Is Your Level Of Guilt In Your Husband Breaking His Leg?

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Betty presents in therapy that she has not been able to get in together since her and her husband’s home was destroyed by a tornado. She describes the night of the tornado in detail and how she feels responsible for breaking her husband leg when trying to get him down to their cellar. She reports that she is having trouble sleeping and keeps replaying the events of that night. She also shares that she is the president of the local NAACP chapter and usually is involved in organizing relief efforts for the community, but is unable to participate because she is a mess emotionally and mentally. My first duty as a therapist would be to make sure that Betty feel safe in order to build a high level of trust and comfort. My first question would simply be for her to describe the events of that night. While also reassuring her that if she every feels uncomfortable at any point in our session, to let me know as I do not want her to share anything she is not ready to talk about. After she shares her experience, I would ask her these following questions to get a sense of where she is at emotionally and mentally:
1. On a scale from 1-9, where would you rate your state of emotion to the trauma?
2. Do you feel that you are in danger to your self?
3. On a scale from 1-9, what is your level of guilt in your husband breaking his leg?
4. What kind of support system do you have at this moment?
5. What effects has your experience had on your daily routine?
6. What change are you

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