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Session Notes

Client: Jordan Stevens

Date: 13/04/2029

Topics/Issues Discussed:

  • Client reported ongoing challenges with social anxiety, particularly in professional settings.
  • Described persistent feelings of isolation at work, and difficulty initiating or maintaining conversations with colleagues.
  • Expressed a sense of being "on the outside looking in" and noted discomfort in group settings such as meetings or team lunches.
  • Shared feelings of sadness and worthlessness, linked to a belief that they are perceived as awkward or unapproachable.

Assessment:

  • Client presented as withdrawn and emotionally low, expressing feelings of loneliness and low self-worth.
  • Demonstrates avoidant behavior in social and professional contexts, with a strong fear of negative evaluation.
  • Appears to be caught in a cycle where anxiety leads to withdrawal, which in turn exacerbates depressive symptoms and feelings of disconnection.

Intervention:

  • Utilized cognitive restructuring techniques to explore and challenge the client's core beliefs about social judgment and failure.
  • Introduced the idea of gradual exposure to low-stakes social interactions at work as a way to build confidence.
  • Supported the client in identifying small, manageable goals for interpersonal engagement (e.g., greeting a colleague, contributing one comment in a meeting).
  • Encouraged journaling after social interactions to reflect on what went well and to disrupt automatic negative interpretations.

Risks:

  • No current indications of self-harm or harm to others.

Plan:

  • Continue to support the client in building social confidence through structured exposure and reflection.
  • Next session will focus on developing language the client can use to initiate and navigate small talk or professional conversations.
  • Explore coping strategies for managing social anxiety symptoms in real time, especially in unpredictable workplace situations.

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