Session 2 - Work Stress & Communication - Transcript

Recorded on: 7/22/2024

Session Transcript
Full transcript of the therapy session.

Therapist: Hi there, good to see you again. How has your week been?

Client: Pretty stressful, actually. That big project at work is still ongoing, and I've been working late most nights.

Therapist: I remember we talked about the impact of work stress. How have you been managing it this week, considering our previous discussions?

Client: I tried to take short breaks, like we discussed. Sometimes it helped me refocus, but the pressure is still immense. I haven't been able to switch off in the evenings at all.

Therapist: It sounds like the intensity of the current situation is making it hard to implement those strategies consistently. That's understandable. What's been the most challenging part about trying to switch off?

Client: My mind just keeps racing. Thinking about everything I still need to do, worrying about deadlines.

Therapist: That "racing mind" is a common experience with anxiety. We could explore some cognitive techniques to help manage those racing thoughts. Are you familiar with thought-stopping or thought-challenging?

Client: Not really, no.

Therapist: Okay, we can go over those. In essence, it's about becoming aware of those unhelpful thought patterns and actively working to interrupt or reframe them. For example, when you notice your mind racing about work, what's a typical thought that comes up?

Client: "I'm not going to get this done," or "I'm going to mess this up."

Therapist: Those are powerful, negative thoughts. Acknowledging them is the first step. Then we can look at challenging their validity. Is it absolutely true you won't get it done? Have you successfully completed challenging projects before?

Client: Well, yes, I usually do. But this one feels different.

Therapist: It's natural for new challenges to feel more daunting. But your past successes are evidence of your capability. This is something we can work on: recognizing and reframing these automatic negative thoughts. How does that sound as a potential tool?

Client: It sounds like it could be helpful. I'm willing to try.

Therapist: Good. Let's also revisit the goal of improving communication with your partner. Has anything come up in that area this week?

Client: We had another argument. It was about me working late again. They said they feel neglected.

Therapist: That sounds difficult. How did you respond when they said they felt neglected?

Client: I got defensive. I said I didn't have a choice with this project.

Therapist: So, you felt attacked, and your instinct was to defend your actions. That's a very human reaction. What do you think your partner was trying to express underneath the frustration?

Client: I guess... they miss me? Or want more time together.

Therapist: That's a very insightful way to put it. Sometimes, when people express frustration, they're really expressing an unmet need. If you were to respond to that underlying need – "I miss you" or "I want more time together" – rather than the frustration, how might the conversation have gone differently?

Client: (Pauses) I... I don't know. Maybe I could have acknowledged their feelings more, instead of just talking about work.

Therapist: That's a great reflection. Acknowledging their feelings – "I understand you feel neglected, and I'm sorry this project is taking so much of my time" – can make a big difference. It validates their experience.

Client: I see that. It's hard to do in the moment when I feel stressed and attacked.

Therapist: It is. It takes practice. But it's a skill we can build. This ties into our goal of improving communication. What do you think about trying to focus on active listening and validation in your next conversation with your partner?

Client: I can try. It's just... hard.

Therapist: I understand. And it's okay for it to be hard. We're not aiming for perfection, just progress. Small steps.

Client: This session actually helped me see some patterns. I do get defensive quickly.

Therapist: Recognizing those patterns is a huge step forward. That self-awareness is key to making changes.

Therapist: We're nearing the end of our time for today. We've touched on managing work stress through cognitive techniques and improving relationship communication by focusing on validation and active listening. How are you feeling about these points?

Client: I feel like I have some things to think about and try. It's a bit overwhelming, but also hopeful.

Therapist: "Overwhelming but hopeful" – that's a good summary of where growth often happens. Let's plan to check in on these strategies next week.

Client: Sounds good. Thank you.