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Behavior:
Client reported feeling on edge constantly and unable to relax, stating, "I feel like I'm always waiting for something bad to happen." Client discussed ongoing hypervigilance despite being in the U.S. for three years. Client described chronic stress related to the immigration process, fear around legal status, and difficulty feeling safe or settled. Client expressed grief over missing home and feeling like she lost a part of herself after relocating. Client also noted challenges with belonging and discrimination, as well as a sense of cultural and legal instability.
Intervention:
The session lasted 60 minutes and was conducted virtually. Therapist introduced grounding practices to address hypervigilance, including a breathing exercise (in for four, hold for four, out for six) and orienting techniques to help the client feel present and safe. Therapist facilitated exploration of identity and belonging, discussing ways to reconnect with cultural roots, such as cooking traditional food, connecting with others from the client’s country, and celebrating holidays in a personal way.
Response:
Client engaged in grounding exercises and appeared receptive to the techniques. Client reflected on her cultural identity and expressed a sense of grief but also showed openness to exploring ways to reconnect with her roots. By the end of the session, client appeared slightly more hopeful and motivated to implement suggested practices.
Plan:
Client is assigned homework to practice grounding and breathing exercises daily and to choose one way to reconnect with her culture this week. The next session is scheduled for next week, and the focus may include further exploration of cultural identity and additional strategies to manage hypervigilance and anxiety.
We had a 60-minute virtual session today. Amara logged in and said she's been feeling on edge all the time, like she can't relax even when things are okay. She said quote 'I feel like I'm always waiting for something bad to happen' unquote. She's been in the U.S. for three years now, but the hypervigilance hasn't gone away. She talked about the chronic stress of the immigration process, the fear around her legal status, and how hard it's been to feel safe or settled when everything still feels so uncertain.
We talked about immigration trauma and how it's layered, it's not just one event, it's the relocation, the loss of community and family, the constant worry about legal and cultural stability, the discrimination and the feeling of not fully belonging anywhere. She said she misses home so much, but she also can't go back, and that grief is always with her. She said she feels like she lost a whole part of herself when she left.
We started with some grounding practices to help with the hypervigilance. I taught her a simple breathing exercise, breathe in for four, hold for four, out for six, to help calm her nervous system when the anxiety spikes. We also did some orienting, where she looked around her space and named things she could see and touch, just to help her body register that she's safe in this moment.
Right, and then we moved into some identity and belonging exploration. I asked her what parts of her culture and identity she's been able to hold onto here, and what she's had to let go of. We talked about finding small ways to reconnect with her roots, cooking traditional food, connecting with other people from her country, celebrating holidays in her own way, so she doesn't feel like she's lost all of it. Her homework is to practice the grounding and breathing exercises daily, and to pick one way to reconnect with her culture this week. She seemed a little more hopeful by the end. We'll meet again next week to keep building those supports.
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