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Subjective:
Client reported wanting to work on her trauma but expressed fear about discussing it in detail, stating, "I don't think I can handle going through it all again." Client described experiencing symptoms such as nightmares, flashbacks, and hypervigilance, and shared concerns that retelling her trauma might worsen these symptoms. Client identified crowded places and sudden loud noises as present-day triggers. She described her grandmother's garden as a place where she feels completely safe.
Objective:
50-minute session held in the office. Client appeared engaged and open to discussing her concerns. Therapist guided client in identifying triggers and building a safe place visualization. Nervous system regulation techniques, including slow breathing and body awareness, were practiced.
Assessment:
Client appears motivated to address her trauma but is apprehensive about engaging in intensive trauma narrative work. Client responded positively to the stabilization-first approach and demonstrated relief upon learning that trauma healing can focus on symptom management and resource-building. Client engaged well in identifying triggers and practicing regulation techniques, indicating progress toward stabilization.
Plan:
Client will practice her safe place visualization daily and track her triggers without judgment over the next week. The next session is scheduled for next week in the office. Future sessions will continue to focus on stabilization and regulation techniques, with trauma processing deferred until client feels ready and adequately resourced.
We had a 50-minute office session today. Nina came in and said she's been wanting to work on her trauma, but she's really scared of having to talk about it in detail. She said quote 'I don't think I can handle going through it all again' unquote. She's been having symptoms, nightmares, flashbacks, hypervigilance, but the idea of retelling the story feels overwhelming, and she's worried it'll make things worse.
I reassured her that trauma healing doesn't have to mean reliving the pain. We can work on the symptoms and help her feel safer in her body without doing intensive trauma narrative work. I explained that we'd use a stabilization-first approach, focusing on what's happening for her now and building up her resources before we ever go near the details. She seemed really relieved to hear that.
We started by identifying her present-day triggers, situations, sounds, smells, or feelings that set off the trauma response. She said crowded places and sudden loud noises are big ones. Then we worked on resourcing, I asked her to think of a place, real or imagined, where she feels completely safe. She described her grandmother's garden, and we spent some time building that image in detail so she could use it as an anchor when she feels triggered. We also did some nervous system regulation work, practicing slow breathing and noticing where she feels calm or neutral in her body, so she can start to build a sense of safety from the inside out.
Her homework is to practice going to her safe place visualization once a day, and to notice her triggers this week without judgment, just tracking them. We'll keep working on stabilization and regulation, and we won't move into trauma processing until she feels ready and resourced enough. She said she feels like she can actually do this now. We'll meet again next week.
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