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Subjective:
Client attended a 50-minute in-office session. Client appeared unsure of themselves and reported feeling confused about what is real and what is not. They stated, "I don't even trust my own memory anymore." Client described their partner frequently dismissing their perceptions, calling them too sensitive, or claiming events did not happen as the client remembers. Client reported second-guessing everything and expressed significant self-doubt.
Objective:
Session duration was 50 minutes, held in-office. Client presented with visible uncertainty and sadness. Client appeared relieved yet saddened during discussions about gaslighting and its effects. Therapist provided psychoeducation on gaslighting as a form of emotional abuse and validated the client’s perceptions and feelings. Therapist guided the client in exploring boundaries, safety planning, and identifying external support systems.
Assessment:
Client is beginning to recognize the impact of gaslighting on their self-doubt and confusion. They responded positively to validation and psychoeducation, showing relief but also sadness as they processed the information. Client demonstrated willingness to engage in strategies to rebuild trust in their own perceptions and to seek external support. Progress aligns with treatment goals of increasing self-trust and addressing emotional abuse dynamics.
Plan:
Client will begin journaling conversations and events to document facts and support their perceptions. Client will reach out to a close friend for additional support. Domestic violence resources were provided for safety planning. The next session is scheduled for next week, where progress on these steps and further exploration of boundaries and safety may continue.
Today's session was 50 minutes, in-office. Jordan came in looking really unsure of themselves and said they've been feeling confused a lot lately about what's real and what's not. They said quote 'I don't even trust my own memory anymore' unquote. They described how their partner keeps telling them they're too sensitive or that things didn't happen the way they remember. They'll bring up something their partner said or did, and their partner will say they're imagining it or overreacting, and after a while Jordan started to believe it. They said it's gotten to the point where they second-guess everything.
We talked about gaslighting and how it's a form of emotional abuse where someone manipulates you into doubting your own reality. I explained that what they're experiencing, the confusion, the self-doubt, the feeling like they can't trust themselves, those are really common effects of gaslighting. Jordan seemed relieved and also really sad, like they'd been holding onto hope that maybe they were just being too sensitive. I validated that their perceptions and feelings are real and trustworthy, and that the confusion is coming from someone else's manipulation, not from a flaw in them.
We worked on rebuilding trust in their own perceptions. I suggested they start keeping a journal of conversations and events, just the facts, so they have something to refer back to when their partner tries to rewrite what happened.
Let me think, what else did we cover. Oh yeah, we talked about boundaries, what they need in order to feel safe, and what they'll do if those boundaries get crossed. We discussed whether they have support outside the relationship, people who can reality-check with them and remind them they're not crazy. Jordan said they have a close friend who's been noticing the same things, which is good. We also talked about safety planning, in case things escalate. I gave them some resources for domestic violence support, just to have on hand. Their homework is to start that journal this week and to reach out to their friend for support. They seemed scared but also a little more grounded, like they're starting to trust themselves again. We'll meet again next week to check in.
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