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Behavior:
Client expressed feelings of loneliness after relocating to a new city. They stated, "I don’t know where to start, and it feels like everyone already has their groups," highlighting the difficulty of making new friends. Client reported fear of rejection and uncertainty about how to approach strangers or build new connections.
Intervention:
50-minute telehealth session. Therapist discussed strategies for connecting with others, including joining local groups or taking classes aligned with client’s interests. Therapist suggested attending virtual events or online communities as a less intimidating starting point and encouraged setting small social goals, such as introducing themselves to one person at each event.
Response:
Client appeared open to the suggested strategies but expressed ongoing anxiety about initiating conversations. Client demonstrated understanding of the discussed approaches and acknowledged the importance of taking small steps toward building relationships.
Plan:
Client assigned homework to research one social group or activity of interest and attend it virtually within the next week. Follow-up session scheduled for next week to assess progress and address any challenges.
Today’s 50-minute telehealth session focused on the client’s feelings of loneliness after relocating to a new city. They said, "I don’t know where to start, and it feels like everyone already has their groups," explaining how difficult it’s been to make new friends. We discussed ways to start connecting, including joining local groups or taking classes that align with their interests. The client expressed fear of rejection, unsure about how to approach strangers or make new connections. We talked about how many people in new cities experience the same feelings and how it takes time to build meaningful relationships.
I suggested that they start by attending virtual events or online communities that align with their interests, as this might feel less intimidating initially. I encouraged them to set small social goals, like introducing themselves to at least one person at each event. Client seemed open to the idea but was still anxious about how to initiate conversations. Their homework is to research one social group or activity they’d like to join and attend it virtually within the next week. We’ll follow up next week to see how they’re doing.
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