SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date : 5.01.22 Session No.: 1

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel nervous all the time, I have too many thoughts in my head, it feels
like my head will explode”

Counsellor’s Observations about the client: The was talking fast, kept shaking his hands and
rubbing his hands together. The client looked tensed and anxious. The client looked
uncomfortable in the beginning

Focus of the session:

 Explaining the process of counselling

 Explaining confidentiality
 Rapport building
 Exploring presenting problem
 Exploring client’s thoughts
 Writing the thoughts down together

Duration of the session: 1 hour

Future direction/plan: MSE and Case History

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date : 12.01.22 Session No.: 2

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel nervous all the time, I have too many thoughts in my head, it feels
like my head will explode”

Counsellor’s Observations about the client: The client asked too many questions about why case
history and MSE was being taken, more comfortable than previous sessions.

Focus of the session:

 Explaining why Case history and MSE is taken

 Case history
 MSE

Duration of the session: 1 hour

Progress of the client: The client seemed much more comfortable, the client stated to feel light
and relaxed after talking to the counsellor

Future direction/plan: Exploring presenting problem, exploring more on “restless thoughts” and
what triggered them, introducing thought journal

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 19.01.22 Session No.: 3

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel nervous all the time, I have too many thoughts in my head, it feels
like my head will explode”

Counsellor’s Observations about the client: The client was hesitant about opening about his
relationship problems initially, but later seemed comfortable talking about it. The client had to be
constantly reassured about confidentiality.

Focus of the session:

 Exploring presenting problem

 Exploring more on anxious thoughts
 Exploring relationship issue
 Introducing thought journal and psychoeducation on thought journal
 Homework- Thought journal

Duration of the session: 1:15 hour

Progress of the client: The client got more comfortable while explaining about his issues in
relationship, the client stated to feel less burdened and lighter as he was able to share, he stated to
feel more reliable. There was no shaking of hands or jittering as compared to first session.

Future direction/plan: Exploring more on client’s thoughts and beliefs about relationships,
disputing the irrational beliefs if any, reviewing homework.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 26.01.22 Session No.: 4

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel nervous all the time, I have too many thoughts in my head, it feels
like my head will explode”

Counsellor’s Observations about the client: The client seemed comfortable, and spoke more
clearly about homework. Eye contact was maintained, the client seemed to speak more
confidently than before.

Focus of the session:

 Reviewing the homework – thought journal

 Identifying themes, thoughts and beliefs through though journal
 Listing down beliefs together
 Psychoeducation on irrational beliefs
 Evaluating the listed beliefs to be rational or irrational
 Introducing grounding techniques

Duration of the session: 1:30 hour

Progress of the client: The client seemed more confident, and stated to gain more insight on
anxiety triggering thoughts and situations

Future direction/plan: Disputing irrational beliefs, demonstrating more grounding techniques

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 02.02.22 Session No.: 5

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel like I cannot find anyone because she broke up with me, and it was
my fault”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
punctual, conversed more easily compared to the first session.

Focus of the session:

 Disputing irrational belief 1

 Forming alternative rational with the client
 Demonstrating grounding technique -5-4-3-2-1 coping technique
 Homework – restarting a hobby for minimum 30 minutes

Duration of the session: 1 hour

Progress of the client: The client seems to be more aware about anxiety triggering beliefs, and
feels more aware about his irrational beliefs, showed determination on working towards his
irrational beliefs.

Future direction/plan: Disputing irrational beliefs, reviewing homework, introducing mindfulness

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 9.02.22 Session No.: 6

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel like I cannot find anyone because she broke up with me, and it was
my fault”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
punctual, conversed more easily compared to the first session.

Focus of the session:

 Disputing irrational belief 2

 Forming alternative rational with the client
 Reviewing homework
 Psychoeducating on mindfulness
 Demonstration of mindfulness meditation
 Homework – Body scan meditation every night, mindfulness meditation every morning

Duration of the session: 1:15 hour

Progress of the client: The client stated to feel less anxious and more relaxed, the client stated to
feel less burdened. The client stated to feel better after restarting hobby every day. The client
stated to have better mood.

Future direction/plan: Disputing rational belief 3, reviewing homework, introducing mindful

photo walk

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 16.02.22 Session No.: 7

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel like I cannot find anyone because she broke up with me, and it was
my fault”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
punctual, conversed more easily compared to the first session.

Focus of the session:

 Disputing irrational belief 3

 Forming alternative rational with the client
 Reviewing homework
 Instruction on photo walk

Duration of the session: 1 hour

Progress of the client: The client stated to have better sleep, improved mood, less anxiety and
stated to feel much happier.

Future direction/plan: Reviewing homework, termination

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 23.02.22 Session No.: 8

Client’s identifying information: Initials: V Gender: Male Age: 29 Occupation:

Software Engineer

Presenting Problems: “I feel like I cannot find anyone because she broke up with me, and it was
my fault”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
punctual, conversed more easily compared to the first session.

Focus of the session:

 Reviewing homework – photo walk, hobby, mindfulness meditation and body scan
meditation
 Summarizing progress
 Termination activity – letter to the counsellor
 Feedback
 Termination

Duration of the session: 1 hour

Progress of the client: The client stated to feel happy, less tensed and anxious. The client stated
to have better sleep quality and feels hopeful and open to future relationships.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 13.01.22 Session No.: 1

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I overthink a lot and it’s getting out of control”

Counsellor’s Observations about the client: The client established rapport well, eye contact was
maintained, the client did not show resistance, the client looked tired but tidy.

Focus of the session:

 Explaining the process of counselling

 Explaining confidentiality and consent form
 Establishing rapport
 Exploring presenting problem

Duration of the session: 1 hour

Future direction/plan: Case history and MSE

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 20.01.22 Session No.: 2

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I overthink a lot and it’s getting out of control”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
rapport was established, looked neat and tidy, well-dressed, looked tired.

Focus of the session:

 Explaining why Case history has to be taken

 Case history intake
 MSE

Duration of the session: 1 hour

Progress of the client: No progress yet, the client complained to have excessive thoughts and less
sleep at night as the thoughts are keeping him awake. The client mentioned to feel relieved after
talking in the first session.

Future direction/plan: Exploring more on death of client’s father and lack of closure

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 27.01.22 Session No.: 3

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I still think a lot about my father’s death and I often feel sad and
burdened”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
rapport was established, looked neat and tidy, well-dressed. The client broke down while trying
to process the story.

Focus of the session:

 Exploring more on father’s death

 Psychoeducation on DABDA model of grief
 Helping the client process father’s death
 Coloring the underlying emotions

Duration of the session: 1:30 hour

Progress of the client: The client stated to feel much relaxed, less heavy. The client showed
resistance initially to process the incident, but eventually cooperated well with the counsellor.

Future direction/plan: Addressing guilt and burden related to father’s death, establishing self-care
routing

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 3.02.22 Session No.: 4

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I still think a lot about my father’s death and I often feel sad and
burdened”, “I feel I am very unlucky in everything”

Counsellor’s Observations about the client: The client maintained eye contact, responded well,
rapport was established, looked neat and tidy, well-dressed.

Focus of the session:

 Addressing guilt and burden felt towards’ father’s death

 Exploring more on client – father relationship
 Exploring more on client’s family dynamics
 Psychoeducation on gratitude journaling
 Homework – gratitude journaling

Duration of the session: 1 hour

Progress of the client: The client felt tired after the last session, but seems to feel less anxious
while thinking about father death, and stated to feel less denial of emotions related to his father’s
death.

Future direction/plan: Writing a letter to father, reviewing homework, self-care activities,

psychoeducation on reconnecting with father

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 10 .02.22 Session No.: 5

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I still think a lot about my father’s death and I often feel sad and
burdened”

Counsellor’s Observations about the client: The client-maintained eye contact, the client showed
resistance in the beginning, rapport was established, looked neat and tidy, well-dressed.

Focus of the session:

 Reviewing homework
 Reflection on homework
 Psychoeducation on importance of gratitude
 Writing a letter to his father
 Processing emotions coming up in the session
 Continuing the homework

Duration of the session: 1:30 hour

Progress of the client: The client stated to feel connected with his emotions, and sated to feel less
anxious while confronting his emotions related to father’s death. The client also showed less
resistance while progressing in the session.

Future direction/plan: Establishing a self-care routine, psychoeducation reconnecting with his

father, exploring client’s hobbies, reviewing homework.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 17 .02.22 Session No.: 6

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I still think a lot about my father’s death and I often feel sad and
burdened”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, the client looked anxious, looked neat and tidy, well-dressed.

Focus of the session:

 Reviewing homework
 Reflection on homework
 Summarizing and reflection on previous session
 Introduction on grounding techniques
 Demonstration of grounding techniques
 Introducing mindfulness meditation
 Psychoeducation on mindfulness
 Homework- mindfulness meditation everyday

Duration of the session: 1:30 hour

Progress of the client: Although the client felt happy to have processed father’s death, he stated
to have nightmares and feel anxious again

Future direction/plan: Establishing a self-care routine, psychoeducation reconnecting with his

father, exploring client’s hobbies, reviewing homework.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 24 .02.22 Session No.: 7

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I still think a lot about my father’s death and I often feel sad and
burdened”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reflection on homework- mindfulness meditation

 Reviewing progress of client on using grounding techniques and mindfulness meditation
 Psychoeducation on reconnecting with father’s death in a healthy way
 Exploring client’s hobbies
 Exploring client’s schedule
 Homework – mindfulness meditation + badminton for min 30 mins everyday

Duration of the session: 1 hour

Progress of the client: The client stated to feel better after using grounding techniques while
feeling anxious, and stated to have reduced anxiety on meditating every day. The client stated to
feel less guilty and burdensome.

Future direction/plan: Establishing self-care routine, exploring more on presenting problem “I

feel I’m very unlucky”

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 03 .03.22 Session No.: 8

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I feel like I’m very unlucky”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reflection on homework- meditation and badminton

 Exploring client’s self-care practices
 Establishing self-care routine
 Listing the reasons leading to the presenting problem
 Discussion on the effect of gratitude journaling on the presenting problem
 Exploring client’s experiences being an international student
 Exploring client’s current relationship

Duration of the session: 1:30 hour

Progress of the client: The client stated to enjoy and feel better after restarting badminton, feels
less anxious, and better sleep and food habits.

Future direction/plan: Exploring more on past relationships and current relationships, listing the
positives of being an international student.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 10 .03.22 Session No.: 9

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I’m very confused about my relationship, it is very uncertain”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Exploring past relationships

 Exploring current relationship
 Psychoeducation on Stenberg’s triangular theory of love
 Reflection on current relationship
 Psychoeducation – communication in relationship

Duration of the session: 1 hour

Progress of the client: The client was quickly able to identify the issues in his relationship after
informing him about triangular theory, the client showed increase in awareness about the effect
of his relationship on his well-being.

Future direction/plan: Informing the client about assertiveness, assertiveness skill training, role-
playing

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 18 .03.22 Session No.: 10

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I’m very confused about my relationship, it is very uncertain”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Socratic questioning on client’s choice to stay in the relationship

 Psychoeducation on making choices
 Assertiveness and assertiveness training
 Discussing template for assertive communication
 Role-playing (communicating client’s perspective to his partner)

Duration of the session: 1 hour

Progress of the client: The client co-operated well and reflected quite well when posed with
questions regarding his relationship, the client stated to have increase confidence to confront his
partner and expressed his willingness to improve himself in regard to his relationship.

Future direction/plan: Reflection on his current relationship, listing down the positives of being
an international student.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 24 .03.22 Session No.: 11

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I’m very confused about my relationship, it is very uncertain”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reflection on current relationship and implication of last session

 Role-playing (Repetition of the last session because the client stated to want more
validation on confrontation)
 Psychoeducation on self-esteem
 Activity to increase self-esteem
 Reflection on the activity
 Reflection on the correlation between self esteem and inability to get out of the
relationship
 Homework – self-esteem worksheets

Duration of the session: 1 hour

Progress of the client: Even though the client stated to not being able to confront his partner, he
showed increased willingness to work on himself. Even while role-playing, the client showed
increased confidence while communicating.

Future direction/plan: Reviewing homework, exploring about experiences as an international

student, listing out pros of being an international student.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 31 .03.22 Session No.: 12

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I feel excluded in this country, it makes me feel lonely”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reflection on homework
 Exploring experiences of the client as international student
 Informing on choices and responsibilities
 Logical consequencing – pros and cons of being an international student
 Informing about importance of social relationships

Duration of the session: 1 hour

Progress of the client: The client stated to feel better about himself, and stated to have gained
more confidence in confronting his partner. The client showed extreme willingness and
acceptance in acknowledging the pros of being an international student.

Future direction/plan: Summarizing, reviewing the progress of the client, termination

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 07 .04.22 Session No.: 13

Client’s identifying information: Initials: S K Gender: Male Age: 26 Occupation:

International Student

Presenting Problems: “I feel excluded in this country, it makes me feel lonely”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Summarizing
 Reflecting and reviewing the progress of the client
 Reviewing assertiveness skills, coping skills, grounding techniques, gratitude journaling,
mindfulness meditation, self-care routine, hobbies.
 Activity – Termination letter
 Feedback

Duration of the session: 1 hour

Progress of the client: The client stated to have joined badminton club in the college, due to
increase in confidence and willingness to make social relationships. In accordance with first
session, the client stated to have reduced anxiety, reduced feelings of guilt and burden, healthy
construct on fathers’ death, less negative talks, increased responsibility and self-esteem.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 28 .11.21 Session No.: 1

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I think I am depressed, anxious, and I have problems with eating”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed, the client looked sad, sleep-deprived, and tired.

Focus of the session:

 Explaining the process of counselling

 Explaining confidentiality and consent form
 Establishing rapport
 Taking Case history
 MSE

Duration of the session: 1 hour

Future direction/plan: Exploring presenting problem, exploring family relationships, exploring

more on anxiety, psychoeducation on mindfulness

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 10 .11.21 Session No.: 2

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I think I am depressed, anxious, and I have problems with eating”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed, the client looked sad, sleep-deprived, and tired.

Focus of the session:

 Exploring presenting problem

 Relationship with her family and extended family
 Family history.
 Introducing grounding techniques
 Psychoeducation on mindfulness
 Mindfulness meditation (demonstration and homework)
 Homework - Gratitude journaling.

Duration of the session: 1:30 hour

Progress of the client: The client did not show any progress as such. The client had panic attack
previous week and looked more tired and exhausted

Future plan/direction: Follow up on anxiety and panic attack, reviewing homework, exploring
more conflicts with family, exploring client’s sleep habits

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 27 .11.21 Session No.: 3

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I think I am depressed, anxious, and I have problems with eating”, “My
parents are too toxic for me and they trigger my anxiety, I want to cut them off.”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed, the client stated to be sick, hence looked tired.

Focus of the session:

 Reviewing homework
 Reflecting on homework
 Exploring sleep habits
 Exploring eating habits - binge eating
 Psychoeducation on binge-eating
 Introducing mindful eating
 Sleep hygiene

Duration of the session: 1:15 hour

Progress of the client: The client stated to have reduced anxiety after using meditation and
grounding techniques. The client stated to feel slightly better than before after gratitude
journaling.

Future plan/direction: Follow up on sleep habits and food habits, exploring conflicts with mother
and father, psychoeducation on importance of social relationships.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 27 .11.21 Session No.: 4

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “My parents are too toxic for me and they trigger my anxiety, I want to cut
them off”, “I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed, the client looked happier than before, smiled
often, made witty jokes in-between.

Focus of the session:

 Follow up on sleep habits

 Follow up on eating habits
 Psychoeducation on nightmares
 Exploring nightmare
 Informing and instruction on dream journal (Homework)
 Psychoeducation on explain social relationships reconnecting with old friends)
 Informing – photo walk (homework)

Duration of the session: 1:15 hour

Progress of the client: The client sated to have reduced anxious thoughts, stated to have better
eating habits (eating healthily). The client stated to struggle with sleep initially, but gradually got
better until nightmares started appearing.

Future plan/direction: Reviewing homework, exploring themes in dream journal, reflecting on

photo walk

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 15 .12.21 Session No.: 5

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “My parents are too toxic for me and they trigger my anxiety, I want to cut
them off”, “I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed, the client looked happier, the client modulated
her voice appropriately, which was absent before.

Focus of the session:

 Reviewing homework
 Exploring themes of nightmares
 Exploring and processing emotions related to mother
 Psychoeducation on loving-kindness meditation (Homework)

Duration of the session: 1 hour

Progress of the client: The client stated that she started going out for walks, and feels better than
before. The client tried reconnecting with her old friends which made her feel better.

Future plan/direction: Exploring more themes in nightmare, exploring parental marital problems,
introducing daily mood journal

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 13 .1.22 Session No.: 6

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “My parents are too toxic for me and they trigger my anxiety, I want to cut
them off”, “I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client sounded livelier than before.

Focus of the session:

 Reviewing homework and reflecting on homework

 Exploring themes of nightmare
 Exploring parental marital conflicts
 Exploring client’s idea of good relationship and bad relationships
 Exploring abuse history with parents
 Homework – photo walk, loving kindness meditation

Duration of the session: 1 hour

Progress of the client: The client stated to feel less scared and anxious about her parent’s phone
calls, client stated to have spoken to her mother without breaking down. She stated to be doing
better and feel less anxious.

Future plan/direction: Processing the abuse between the client and her mother, writing a letter to
her mother, exploring client’s hobbies.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 20 .1.22 Session No.: 7

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “My parents are too toxic for me and they trigger my anxiety, I want to cut
them off”, “I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client sounded livelier than before. The
client broke down during the session.

Focus of the session:

 Reviewing homework and reflecting on homework

 Processing the abuse between the client and her mother
 Writing a letter to her mother
 Reflecting on emotions during the process
 Coloring the emotions
 Exploring client’s hobbies
 Homework – daily journal, photo walk, meditation, go back to any one of the hobbies

Duration of the session: 1:30 hour

Progress of the client: The client stated to have better sleep and reduced nightmares. She started
to go out often than before. She stated to feel like having a different perspective towards her
mother, hence wanting resolve conflicts.

Future plan/direction: Reviewing homework, exploring more childhood trauma, establishing

self-care routine

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 29 .1.22 Session No.: 8

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client seemed less anxious, sad, and happier.

Focus of the session:

 Reviewing homework and reflection

 Exploring recurring nightmares
 Exploring physical abuse experienced by the client by father
 Exploring client’s daily routine

Duration of the session: 1 hour

Progress of the client: The client stated to have recurrent nightmares again. Apart from
nightmares, the client stated to be happier than before. The client single-handedly organized a
poetry club event in her workplace, and stated to be doing much better.

Future plan/direction: Processing abuse between client and her father, process the emotions
coming up, writing a letter to the client’s father.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 05 .2.22 Session No.: 9

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I cannot manage my time, all my submissions are next week and I’m
tensed.”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client appeared tensed and rate of speech
compared to other sessions was higher.

Focus of the session:

 Reviewing progress
 Reviewing self-care routine
 Establishing self -care routine
 Setting up daily routine until the submissions
 Timetable for client’s dissertation
 Homework – meditation for 20 mins everyday

Duration of the session: 1 hour

Progress of the client: The client stated to have confronted her mother, and feels less anxious
while talking to her mother. Panic attacks has completely stopped. Eating habits have gotten
better.

Future plan/direction: Follow up on client’s scholastic activities and deadlines, processing abuse
between client and her father, process the emotions coming up, writing a letter to the client’s
father.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 17 .2.22 Session No.: 10

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: ““I have a lot nightmares and it is making me hard to sleep”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked happier and active.

Focus of the session:

 Reviewing client’s scholastic activities

 Reviewing client’s routine
 Setting client’s daily routine after submissions
 Processing abuse that took place between father and the client
 Writing a letter to her father
 Processing emotions
 Coloring emotions
 Guided imagery – 10 mins

Duration of the session: 1:30 hour

Progress of the client: The client stated to feel relaxed, less anxious, more assertive and more
relaxed. The client stated to be happy to have submitted submission on time, with time
management skills.

Future plan/direction: Reviewing progress of the client, exploring the nightmares that client
started having again.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 24 .2.22 Session No.: 11

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: ““I have a lot nightmares and it is making me hard to sleep”, “I feel
insecure in my relationship even though my partner is the nicest person”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client broke down during the session.

Focus of the session:

 Reviewing the client’s progress and homeworks

 Exploring the theme of the nightmare
 Listing down the conditions put down by client’s parents
 Evaluating the belief client holds as irrational
 Disputing irrational belief 1
 Forming rational alternative
 Reflection on rational alternative

Duration of the session: 1:30 hour

Progress of the client: The client stated to have better insight and awareness about herself, the
clients maintains journals and is up to date with all her homeworks. The client also stated to eat
and realize when she feels full.

Future plan/direction: Disputing irrational belief 2, forming rational alternative, reflection on

rational belief.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 3 .3.22 Session No.: 12

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I feel insecure in my relationship even though my partner is the nicest
person”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reviewing last session

 Disputing irrational belief 2
 Forming rational alternative
 Reflection on rational alternative
 Activity – “My happy place”

Duration of the session: 1:30 hour

Progress of the client: No much progress, but the client stated to feel relieved to be aware and
insightful about her childhood affecting her insecurities in relationships, and stated to want to
spend some time alone.

Future plan/direction: Disputing irrational belief 3, forming rational alternative, reflection on

rational belief.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 10 .3.22 Session No.: 13

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I feel insecure in my relationship even though my partner is the nicest
person”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed.

Focus of the session:

 Reviewing last session, daily routine, scholastic activities. Sleep and food habits
 Disputing irrational belief 3
 Forming rational alternative
 Reflection on rational alternative
 Revising and re-establishing daily schedule

Duration of the session: 1 hour

Progress of the client: The client started to go swimming, the client started to spend more time at
her work and stated to feel happy after going out for company dinner. The client stated to feel
less insecure in her relationship.

Future plan/direction: Disputing irrational belief 4, forming rational alternative, reflection on

rational belief.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 17 .3.22 Session No.: 14

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I feel insecure in my relationship even though my partner is the nicest
person”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client’s tone of voice higher when compared
to other sessions, the client smiled and laughed, the client looked less stressed.

Focus of the session:

 Reviewing last week’s schedule

 Disputing irrational belief 4
 Forming rational alternative
 Reflection on rational alternative
 Listing out activities that client enjoys doing alone
 Scheduling activities spreading throughout the week

Duration of the session: 1 hour

Progress of the client: The client stated to feel less insecure about relationships, the client stated
to spend more time alone, and have less racing thoughts, and feels happier in her relationship.

Future plan/direction: Summarizing, termination, termination activity, feedback.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 26 .3.22 Session No.: 15

Client’s identifying information: Initials: S Gender: Female Age: 26 Occupation: Student

Presenting Problems: “I feel insecure in my relationship even though my partner is the nicest
person”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked happy, energetic and smiled
often. The client cried later during the session.

Focus of the session:

 Summarizing
 Revising the progress of the client
 Termination
 Termination activity – write a termination letter to you counsellor
 Addressing the emotions during termination
 Feedback about the sessions

Duration of the session: 1 hour

Progress of the client: The client stated to have no panic attack, reduced anxiety, less insecurity
regarding her relationship, reduced nightmare, healthy eating and sleeping habits, better
relationship with mother, better efficiency at work, and overall increase in feeling happy,
excitement and content.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 18 .12. 21 Session No.: 1

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation:

Student

Presenting Problems: “I am really in a bad state, I don’t do anything all day. When I think I’m
doing better, I start diagnosing myself”

Counsellor’s Observations about the client: The client was well-dressed, maintained eye-contact,
established rapport. The client looked unhappy and made lot of self-deprecating jokes about
herself, the client talks too much.

Focus of the session:

 Explaining counselling
 Explaining informed consent and confidentiality
 Exploring presenting problem
 Establishing rapport
 Homework – gratitude journaling

Duration of the session: 1 hour

Future Plan/Direction: Taking case history and MSE

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 26.12.21 Session No.: 2

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I am really in a bad state, I don’t do anything all day. When I think I’m
doing better, I start diagnosing myself”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked weak and pale due to falling
sick.

Focus of the session:

 Reviewing and refection of gratitude journaling

 Case history intake
 MSE
 Exploring more on family relationships

Duration of the session: 1 hour

Progress of the client: The client was up to date with the homework, and stated to have gained
newer perspective on people she loves and things she likes doing. The client stated that the
homework made her feel validated.

Future plan/direction: exploring more on anxiety, introducing grounding techniques, exploring

more on feeling guilty for separation between her parents, improving relationship with her
mother.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date: 26.12.21 Session No.: 3

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I am really in a bad state, I don’t do anything all day. When I think I’m
doing better, I start diagnosing myself”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked weak and pale due to falling
sick.

Focus of the session:

 Reviewing and refection of gratitude journaling

 Case history intake
 MSE
 Exploring more on family relationships
 Homework – restarting playing guitar/painting/photo walk/ involve more in church
related activities

Duration of the session: 1 hour

Progress of the client: The client was up to date with the homework, and stated to have gained
newer perspective on people she loves and things she likes doing. The client stated that the
homework made her feel validated.

Future plan/direction: exploring more on anxiety, introducing grounding techniques, exploring

more on feeling guilty for separation between her parents, improving relationship with her
mother.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:08.1.22 Session No.: 4

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “Exams are coming near, and applications will also start soon, I feel very
stressed”, “I procrastinate a lot, and I feel guilty about it”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked tired and stressed. The clients
talks a lot, often deviates from the topic.

Focus of the session:

 Exploring presenting problem

 Exploring client’s interests, education opportunities, parental support, preferred major
 Introducing study skills: SMART study goals, and pomodoro technique, note making
 Time management skills
 Scheduling client’s day
 Establishing sleep hygiene and routine

Duration of the session: 1:30 hour

Progress of the client: The client stated to feel better after playing guitar. The client stated to
spend more time in church and involve herself in activities related to church, and experienced
increase in better mood.

Future plan/direction: exploring more on anxiety, introducing grounding techniques, exploring

more on feeling guilty for separation between her parents, improving relationship with her
mother.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:14.1.22 Session No.: 5

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I feel like the reason my parents got separated in all because of me”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client made jokes while talking about feeling
sad, unhappy, guilty and hateful.

Focus of the session:

 Exploring separation between the client’s parents

 Exploring abuse between mother and father
 Addressing the guilt
 Psychoeducation on children feeling guilty for parental separation
 Exploring positives of parental separation
 Psychoeducation on responsibility and choice
 Reflecting more of client’s choice and responsibility
 Psychoeducation on living in the present

Duration of the session: 1:30 hour

Progress of the client: The client stated to have gained a newer perspective on separation
between her parents, and wants to take an initiative to improve relationship with her mother. She
stated that she feels better and less burdened after validating that she is nor responsible for
separation.

Future plan/direction: exploring more on anxiety, introducing grounding techniques, improving

relationship between the client and her mother, improving social circle.
Counsellor’s Signature:

SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:28.1.22 Session No.: 6

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I feel anxious and I have all these thoughts in my head, I keep
overthinking about it.”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client laughed and smiled appropriately.

Focus of the session:

 Exploring more on anxiety and thoughts

 Informing about thought journal
 Psychoeducation on grounding techniques
 Demonstration of grounding techniques
 Anger management skills
 Applying anger management skills while communicating with her mother

Duration of the session: 1 hour

Progress of the client: The client stated to have reflected on parental separation and feels less
guilty and anxious about the situation, and feels more confident on her choice of staying with her
mother.

Future plan/direction: Establishing self-care routine, psychoeducation on self-love, activities on

self-esteem, increasing self-esteem and self-confidence.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:04.2.22 Session No.: 7

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “Mostly I’m disgusted with myself”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client showed resistance throughout the
session.

Focus of the session:

 Exploring self-deprecating thoughts by the client on herself

 Exploring client’s body image and source of it
 Psychoeducation on body positivity and body neutrality
 Exploring client’s strengths
 Writing positive body image comments
 Activity- writing, coloring body positive comments and sticking it on the mirror

Duration of the session: 1:30 hour

Progress of the client: The client stated to have harmonious relationship and better
communication with her mother, the client stated to have increased awareness on the effect of
negative body image, low self-esteem, and constant negative self-talk.

Future plan/direction: Exploring eating habits and eating pattern, psychoeducation on

dysfunctional eating pattern and conditioning, psychoeducation on mindful eating, exploring
more on source of unhealthy diet.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:17.2.22 Session No.: 8

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “Mostly I’m disgusted with myself”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked pale and leaner than before
(physically sick).

Focus of the session:

 Exploring eating habits – binge eating

 Psychoeducation on 5 types of hunger and hunger awareness
 Psychoeducation on mindful eating
 Psychoeducation on emotional eating
 Establishing food schedule
 Homework – Food journal

Duration of the session: 1 hour

Progress of the client: The client stated to feel better about herself everyday while looking at the
positive notes on the notes, the client stated to stop following dangerous diets from social media.
The client stated to have better sleep.

Future plan/direction: Exploring client’s attachment style, friendships, relationships, self-care

routine.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:27.2.22 Session No.: 9

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I want to self-harm and my wrists are hurting”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked tired. Showed resistance
towards the activities.

Focus of the session:

 Exploring presenting complaint

 Exploring underlying reasons behind self-harm
 Reflection of emotions felt by the client
 Emotional processing
 Coloring the emotions
 Coping strategies for self-harm

Duration of the session: 1: 30 hour

Progress of the client: The client said to be eating and sleeping well, until she met her father
which triggered a series of incidents. The client said she has a better relationship for her mother
and she feels supported.

Future plan/direction: Revising psychoeducation on responsibilities and choices, stress

management, guided imagery and art-based activity for stress reduction.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:03.3.22 Session No.: 10

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I want to self-harm and my wrists are hurting”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client spoke a lot.

Focus of the session:

 Follow-up on the urge to self-harm

 Psychoeducation on responsibilities and choices
 Stress and stress management
 Guided imagery for stress reduction
 Art activity – escape to your happy place

Duration of the session: 1: 30 hour

Progress of the client: The client stated to have reduced thoughts of self-harm and have better
sleep. The client stated to be eating well as well.

Future plan/direction: Follow-up on client on thoughts of self-harm, Exploring client’s

attachment style, friendships, relationships, self-care routine.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:25.3.22 Session No.: 11

Client’s identifying information: Initials: G Gender: Female Age: 18 Occupation: Student

Presenting Problems: “I talk to this boy in my church, but I’m overthinking and it’ll make things
worse”, “I want to terminate the session because I feel like I’m in a better place”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked happier than before, looked
less stress, made lot of jokes.

Focus of the session:

 Exploring reasons for the client overthinking

 Evaluating the outcomes of worst-case scenario
 Informing the importance of communication
 Termination
 Reflecting on progress
 Takeaway coping strategies
 Takeaway from therapy
 Feedback

Duration of the session: 1: 30 hour

Progress of the client: The client stated to have reduced urge to self-harm, better sleep and food
routine, feels less anxious and stress, harmonious relationship with her mother, got back to her
hobbies.

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:04.4.22 Session No.: 1

Client’s identifying information: Initials: H Gender: Female Age: 38 Occupation: Finance

Manager

Presenting Problems: “I want to self-harm and my wrists are hurting”, “I’m not able to be stable
and cannot take decisions on my own”, “I’m not able to face the problem”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client kept breaking down multiple times,
looked unhappy and exhausted.

Focus of the session:

 Explaining process of counselling

 Explaining confidentiality and consent
 Rapport building
 Exploring marital conflicts
 Exploring relationship between client and her children

Duration of the session: 1 hour

Future plan/direction: Case History and MSE

Counsellor’s Signature:
 SESSION NOTE ON COUNSELLING SESSION

Counsellor’s Initials: Niharika Y Date:15.4.22 Session No.: 2

Client’s identifying information: Initials: H Gender: Female Age: 38 Occupation: Finance

Manager

Presenting Problems: “I want to self-harm and my wrists are hurting”, “I’m not able to be stable
and cannot take decisions on my own”, “I’m not able to face the problem”

Counsellor’s Observations about the client: The client-maintained eye contact rapport was
established, looked neat and tidy, well-dressed. The client looked unhappy and exhausted.

Focus of the session:

 Case history intake

 MSE intake
 Exploring self-care routine
 Establishing self-care routine

Duration of the session: 1 hour

Progress of the client: The client stated to feel supported, and much better after venting out her
marital conflicts to the counsellor. The client stated to restart taking care of herself and focus of
herself more.

Future plan/direction: psychoeducation on self-esteem and self-confidence, worksheet on self-

esteem and self-confidence, assertiveness skills, psychoeducation on abuse cycle.

Counsellor’s Signature: