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Data:
Session duration: 50 minutes. Location: Virtual session. Client appeared sad and reported feeling overwhelmed by sadness due to her father's declining health. Client stated, "I feel like I'm already grieving him, and then I feel guilty because he's still alive." She described difficulty staying present during visits with her father, as she is preoccupied with thoughts of his changes and limited time remaining. Client expressed guilt and concern that something was wrong with her for feeling this way. Therapist discussed anticipatory grief as a normal response to a loved one's serious or terminal illness. Client appeared relieved and validated by this explanation. Interventions included normalizing anticipatory grief, reframing guilt, and exploring ways to stay present while honoring grief. Therapist suggested creating small meaningful moments with her father, such as sitting together or listening to music he loves, and encouraged journaling memories and feelings.
Assessment:
Client is experiencing anticipatory grief related to her father's declining health. She is making progress in understanding and normalizing her emotional responses. Client responded positively to reframing her guilt and appeared relieved by the discussion of anticipatory grief. She is open to exploring strategies to stay present and create meaningful moments with her father, which aligns with her treatment goals.
Plan:
Client will attempt one meaningful visit with her father this week, focusing on being present and creating small moments together. She will also begin journaling memories and feelings as a way to process her grief. The next session is scheduled for next week. Treatment will continue to focus on supporting the client in managing anticipatory grief and fostering emotional resilience.
We had a 50-minute virtual session today. Rachel logged in looking sad and said her dad's health has been declining and she's been feeling this overwhelming sadness even though he's still here. She said quote 'I feel like I'm already grieving him, and then I feel guilty because he's still alive' unquote. She described how every time she visits him, she's thinking about how much he's changed and how little time might be left, and it's hard for her to just be present with him.
We talked about anticipatory grief and how it's a completely normal response when someone you love is facing a serious or terminal illness. I explained that grieving in advance doesn't mean you're giving up or wishing it would happen sooner, it's your heart trying to prepare for something really painful. She seemed relieved to hear that, like she'd been carrying so much guilt about it. She said she thought something was wrong with her for feeling this way.
We worked on finding ways to stay present while also honoring the grief. I suggested that she give herself permission to feel both, the sadness about what's coming and the gratitude for the time she still has. We talked about creating small meaningful moments with her dad, things that don't require him to be the person he used to be, like just sitting together or listening to music he loves. I also encouraged her to write down memories or things she wants to tell him, as a way to process the grief without it taking over every visit. Her homework is to try one meaningful visit this week where she focuses on just being with him, and to start a journal for the memories and feelings that come up. We'll meet again next week to see how it's going.
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