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Data:
50-minute telehealth session. Client discussed feelings of loneliness after relocating to a new city. Client stated, "I don’t know where to start, and it feels like everyone already has their groups," and described difficulty making new friends. Client expressed fear of rejection and uncertainty about approaching strangers or forming connections. Therapist suggested joining local groups or taking classes aligned with client’s interests and attending virtual events or online communities as a less intimidating starting point. Client was encouraged to set small social goals, such as introducing themselves to one person at each event. Client appeared open to these ideas but remained anxious about initiating conversations.
Assessment:
Client is experiencing loneliness and fear of rejection, which are barriers to forming new connections. Client’s openness to suggested interventions indicates readiness to work on social goals, though anxiety remains a challenge. Progress aligns with treatment goals of addressing social isolation and building confidence in social settings.
Plan:
Client assigned homework to research one social group or activity of interest and attend it virtually within the next week. Next session scheduled for follow-up on progress and to address any challenges encountered. Continuation of current treatment plan with focus on reducing anxiety and building social connections.
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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