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Subjective:
Client reported having a "really rough week" and feeling out of control due to intense emotional swings, particularly in stressful relationship situations. Client stated, "I keep doing this thing where I'll get upset and then I just start texting like crazy, and then I regret it later." Client described feeling overwhelmed by waves of emotion and struggling to stop herself from sending multiple texts, which she later regrets.
Objective:
Session was 50 minutes, in-office. Client appeared shaken and distressed upon arrival. Client engaged in discussion and skill practice with some initial skepticism but demonstrated understanding of the concepts introduced.
Assessment:
Client is experiencing difficulty with emotion regulation and impulse control, particularly in the context of relationship stress. Client responded positively to the introduction of DBT skills, including urge surfing and TIP skills, and appeared relieved to have a structured coping plan to address these challenges. Progress aligns with treatment goals focused on improving emotional regulation and distress tolerance.
Plan:
Client will practice urge surfing at least once this week, even with a small urge, and keep the coping plan on her phone for easy access. Therapist and client will check in during the next session to evaluate the effectiveness of these strategies and adjust as needed. Continuation of DBT-based interventions is anticipated to further support emotional regulation and impulse control.
Today's session was 50 minutes, in-office. Jenna came in looking pretty shaken up and said she had a really rough week. She said quote 'I keep doing this thing where I'll get upset and then I just start texting like crazy, and then I regret it later' unquote. She described these intense emotional swings, especially when things get stressful in her relationship. She'll feel this huge wave of emotion, and before she knows it, she's sent like ten texts and made everything worse. She said she feels out of control and doesn't know how to stop herself in the moment.
We talked about how DBT skills can really help with this, especially emotion regulation and distress tolerance. I introduced her to urge surfing, the idea that urges are like waves, they build up but they also pass if you can ride them out without acting. We practiced it together, imagining that urge to text and just noticing it, breathing through it, waiting for it to crest and come back down. She seemed skeptical at first but said it made sense.
Oh right, and we also went over TIP skills, Temperature, Intense exercise, Paced breathing, and Paired muscle relaxation. I explained how changing her body temperature, like splashing cold water on her face or holding an ice cube, can actually help reset her nervous system when she's in crisis mode. Then we put together a short coping plan for her. We wrote down what she'll do next time she feels that urge, first, notice the urge, second, use TIP skills to bring down the intensity, third, if she still feels like she needs to communicate, wait 20 minutes and then reassess. She seemed relieved to have something concrete to try. Her homework is to practice urge surfing at least once this week, even with a small urge, and to keep that coping plan on her phone so it's right there when she needs it. We'll check in next session to see how it worked.
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