Oversight - psychologist/psychotherapist/counselor

- Supervision Date: October 15, 2023
- Supervision Time: 10:00 AM
Topics discussed:
1. Anxiety in Client A
   Client A has been experiencing heightened anxiety levels, especially in social contexts.
   - Specific issues include avoiding social events and struggling to start conversations.
   - Psychological formulation suggests a mix of cognitive distortions and past traumatic experiences contributing to anxiety.
Supervisor input:
- Discussed interventions such as cognitive-behavioral therapy and exposure therapy.
- Supervisor suggested, "Encourage Client A to gradually expose themselves to social settings, starting with small groups."
- Feedback: The supervisor emphasized the importance of tracking progress through a journal.
- Follow-up actions: Schedule a review session in two weeks to assess progress.
2. Depression in Client B
   Client B has exhibited signs of depression, including low energy and disinterest in daily activities.
   - Concerns include ongoing sadness and withdrawal from family interactions.
   - Psychological formulation indicates a possible link to recent job loss and financial stress.
Supervisor input:
- Recommended interventions include mindfulness exercises and regular physical activity.
- Supervisor advised, "Encourage Client B to set small, achievable goals to regain a sense of accomplishment."
- Feedback: The supervisor noted the importance of maintaining a supportive environment.
- Follow-up actions: Plan a family session to discuss support strategies.
Goals:
- Reduce anxiety symptoms in Client A by 50% within three months.
- Increase Client B's engagement in daily activities by setting weekly goals.
Next Steps:
- Implementation: Supervisee to implement exposure therapy techniques with Client A.
- Assigned Homework: Client B to complete a daily gratitude journal to focus on positive aspects of life.