Who Is The Client?

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At each session, David has been dressed appropriately for the setting, weather, and appeared his stated chronological age. Typically, the client wears t-shirts, a jacket and cargo pants with sneakers or boots. The client has multiple tattoos on his forearms and upper chest and neck area that are typically visible during sessions. He is of average stature and would be considered average weight. David appeared to have normal grooming and hygiene habits. Speaking for his posture, the client typically displayed a normal posture, however he slouched back or tensed when trying to recall his past or traumatic memories. Motor activity appeared within normal ranges. The client had normal eye contact and rarely displayed avoidance. His facial…show more content…
The client had pretty stable reports of feeling “fine” or “decent”. He reported a few sessions that he was “anxious” or “depressed and sad.” Once his mood was assessed, we spent time working on the emotion of the day whether it be his anxiety or his depression, before moving into a skill. The majority of our sessions, David had talked about how his anxiety “controlled his life.” He referenced numerous times in his life, past and current, where he “froze” or had “panic attacks so severe” that he didn’t know if he would survive. Depression was of a similar nature, though less apparent. He discussed feelings of worthlessness and feeling so depressed he would not get out of bed for the entire day. Addressing these negative mood reactions has been key to his success in treatment. The client’s affect matched his stated mood during most of our sessions. David always knew what he was feeling as soon as he entered the room and his affect matched his deduction. The only case where he wasn’t presently aware were times he was thinking about past memories and he began to tense or slightly shake without realizing it. It will be important moving forward to teach explicit grounding techniques when we begin to dive deeper into his PTSD and his trauma. Sensory Information The client’s attention has been normal in sessions. David had mentioned times when he felt
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