Counseling Consultation Template

Current Presentation:  
The patient, a 32-year-old female, arrived with anxiety and stress associated with her recent job transition and move. She reported frequent panic attacks and sleep disturbances, which have greatly affected her daily life and overall health.
Session Content:  
In the session, we explored the patient's feelings of being overwhelmed and her fear of not succeeding in her new position. She voiced concerns about meeting expectations and provided insights into her perfectionist nature. The patient had a significant realization about how her self-imposed pressure exacerbates her anxiety.
Obstacles, Setbacks and Progress:  
The primary challenge for the patient is her ongoing negative self-talk. Since the previous session, she encountered a setback when she experienced a panic attack during a work presentation. Nonetheless, she has made progress by using mindfulness techniques, which have helped decrease the frequency of her panic attacks.
Session Summary:  
This session concentrated on identifying the patient's anxiety triggers and creating coping strategies. Key themes included self-compassion and the importance of setting achievable goals. The therapist noted that the patient is starting to challenge her negative thoughts and is demonstrating increased self-awareness.
Next Steps:  
The patient will continue with mindfulness exercises and will begin a gratitude journal to encourage positive thinking. The next session is scheduled for November 15th at 3:00 PM.