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Client E attended a 50-minute in-person session presenting with elevated anxiety related to upcoming end-of-year examinations. Exploration of the underlying concern revealed a fear of failure and perceived academic inadequacy rather than a lack of preparation. A diaphragmatic breathing and grounding technique was practiced within the session, demonstrating immediate effectiveness in reducing acute anxiety. The conversation shifted positively toward self-compassion and realistic appraisal of academic performance. Client E left the session appearing noticeably calmer and reported feeling more confident about the week ahead.
Journal for 5 minutes each morning this week using the provided gratitude prompt. Focus on one academic strength and one personal strength per entry. Aim to complete at least 5 entries before Thursday's exam.
Check in with Client E before Thursday's exam, ideally via a brief message or call. Review homework completion and mood at the next scheduled session. Monitor for escalation in anxiety levels given the exam period — if welfare concerns arise, follow the welfare escalation protocol.
Based on 3 key inputs, your session history with this client, and 6 selected themes. Review all sections carefully before publishing.