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Data:
In a 45-minute in-office session, client discussed feelings of isolation and lower self-esteem stemming from rejection in social situations. Client stated, "I take it so personally when people don’t respond to me or include me," and described how minor social snubs feel devastating. Client reported difficulty moving past these feelings and ruminating over perceived slights. Therapist explored how rejection sensitivity may stem from past experiences and how it can influence perceptions of social interactions. Therapist introduced strategies for reframing rejection and practicing self-compassion, which client expressed willingness to try but voiced concerns about their effectiveness.
Assessment:
Client demonstrates insight into their rejection sensitivity and its impact on self-esteem and social interactions. Client appears motivated to address these challenges but remains uncertain about the effectiveness of suggested strategies. Progress aligns with treatment goals of improving self-esteem and managing negative thought patterns.
Plan:
Client will practice noticing feelings of rejection and reframing them during the week. Homework will be reviewed in the next session. Continuation of current treatment plan with a focus on addressing rejection sensitivity and building self-compassion.
In today’s 45-minute in-office session, the client shared how rejection in social situations has led to feelings of isolation and lower self-esteem. They said, "I take it so personally when people don’t respond to me or include me," explaining how minor social snubs feel devastating. We discussed how rejection sensitivity can stem from past experiences and how it can skew their perception of social interactions. The client expressed difficulty in moving past these feelings, often ruminating over perceived slights long after the interaction has ended.
We talked about the importance of not internalizing rejection and reframing it as a natural part of human interaction. I suggested they start practicing self-compassion and challenge negative thoughts by asking themselves if they are making assumptions about the other person’s intentions. Client seemed willing to try these strategies but worried they wouldn’t work. Their homework is to notice any feelings of rejection during the week and practice reframing them. We’ll discuss their progress next session.
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