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Data:
Session duration was 60 minutes, conducted virtually. Client presented as on edge and reported feeling like she cannot relax even when circumstances are calm. Client stated, "I feel like I'm always waiting for something bad to happen." She described experiencing hypervigilance since immigrating to the U.S. three years ago, which has not diminished. Client discussed the chronic stress of the immigration process, fear regarding her legal status, and difficulty feeling safe or settled due to ongoing uncertainty. She expressed grief over missing home, feeling unable to return, and the sense of losing a part of herself since leaving. Therapist introduced grounding practices, including a breathing exercise (inhale for four, hold for four, exhale for six) and orienting techniques to help her manage hypervigilance and anxiety. Client explored identity and belonging, discussing parts of her culture she has retained and those she has lost. Suggestions were made to reconnect with her roots through traditional food, connecting with others from her country, and celebrating holidays in her own way.
Assessment:
Client continues to experience significant hypervigilance and anxiety related to immigration trauma, which impacts her sense of safety and stability. She is grieving the loss of her home and aspects of her identity but showed openness to exploring ways to reconnect with her culture. Client responded positively to grounding interventions and appeared slightly more hopeful by the end of the session.
Plan:
Client will practice grounding and breathing exercises daily to manage hypervigilance and anxiety. She will also choose one way to reconnect with her culture this week, such as cooking traditional food or celebrating a holiday. The next session is scheduled for next week, where the focus may continue on building supports and exploring identity and belonging further.
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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