Sam did not maintain eye contact during the session and continued looking down. His mum had written a note which explained few situations where Sam was angry. She also mentioned that she was very worried and concerned about him as he had posted a quote on depression on Instagram. Later when mum left the room she told that Sam's friend told her that Sam wants to kill himself and has started self-harming. She said that she has checked his body and has not seen any marks on his body but still just concerned about him.
When Sam was asked about his Instagram post, he said that he had just put a quote on depression but he said that someone had hacked his FB account and wrote stuff like he wants to kill himself and he has self- harmed. He also said…show more content… He rated his mood as 4 on a scale of 1-10 where 1 meant very low mood and 10 meant joyful. We explored positive qualities in Sam (5 things I like about myself worksheet) Sam really struggled to get the positive qualities as he often said ' I don't know’. After probing he wrote funny, constructive and brave. We explored his anger warning signs with the help of worksheet: mind goes blank, heavy/fast breathing, argumentative etc.
We inspected Sam’s anger triggers: shouting, blaming, teachers, school etc.
His calming technique / coping mechanism: being on own, and sit quietly, walk off or use time out card in school (sometimes)
We discussed that his brain has got into a habit of being angry and hence we would re train the brain to deal with his angry with the use of distraction strategies. He was also explained that eventually we would focus on monitoring and challenging his thoughts. He was suggested to use backward counting 50-1 or 100-1 when he gets anger. He was suggested that instead of lashing out at others he can distract his mind by counting backwards. Similarly he was suggested to use the ‘timeout card’ often to calm himself and avoid any arguments with teachers at
