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Data:
Client attended a 60-minute session at the office. They appeared somewhat nervous and disclosed they have been questioning their gender identity, expressing feelings of confusion and the impact of family expectations. Client stated, "I don’t know where I fit in." Discussion included client's feelings of isolation and anxiety regarding potential reactions from others in their life.
Assessment:
Client is grappling with issues related to gender identity and the fear of rejection. The feelings of confusion and anxiety are significant but client showed signs of relief after discussing self-acceptance and potential coping strategies.
Plan:
Therapist suggested client begin journaling to track feelings and moments of comfort in their identity. Additionally, exploring safe spaces for identity expression was recommended. A follow-up session is scheduled in two weeks to review client's progress and journaling experience.
We had a 60-minute session today at the office. Client came in looking a little nervous, said they’ve been questioning their gender identity for a while now, and it’s been really weighing on them. They said quote 'I don’t know where I fit in' unquote. We started talking about how they feel really confused about expressing themselves and how family expectations have been making it worse. They mentioned that their family’s pretty traditional, and it’s making them feel stuck, like they can’t be who they really are. They talked about how they’ve been feeling kinda isolated and anxious because they don’t know how people in their life will react. It was pretty heavy.
We dove into some of those fears, and I could tell that the fear of rejection has been a big thing for them. We talked about how self-acceptance is not something that happens overnight, and it’s a process. They said quote 'I just want to feel like I’m being real, not hiding all the time' unquote. I suggested they start keeping a journal to write down their feelings and maybe even track moments where they felt the most comfortable in their identity—just to reflect. They seemed pretty open to that idea. We also talked about finding spaces or communities where they feel safe to explore their identity without judgment, because that could help ease some of this anxiety.
They seemed kinda relieved by the end of the session, like they finally have a direction to start working through this. We’re gonna meet again in two weeks to see how they’re feeling and how the journaling is going.
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