ways in which she can cope with her anxiety and depression while in recovery
PURPOSE OF THE SESSION: The purpose of this session is to assist the client with identifying
ways in which she can cope with her anxiety and depression while in recovery from heavy substance use
II. OBSERVATION: Client is a 25-year-old Caucasian female. Client stated
that she been dealing with anxiety and depression since she was 12 after she was sexually abused. Client
reported she began using drugs when she was 20 years old. Client reported a few years ago when a CPS
investigation was lunched against her which resulted in 3 of her 4 children being taken away from her in
2017. During the session client reported the children who were taken away from her are now ages 7, 6,
and 5. Client reported that she has not seen or had any contact whatsoever with those 3 children since
they were taken away from her. Client reported that at the beginning of the month the 3 children were all
adopted together to the same family. The client reported having a 3 month old daughter. Client reported
her anxiety and depression makes it very difficult for her to sleep and rest, so she smokes 2-3 Marijuana-
cocaine blunts a day to help her with her anxiety, depression, and insomnia. The client was very open
about her addiction, depression, and anxiety, and how her addiction has affected her life. The client was
very engaged and calm during the session and asked questions on how to manage her depression and
III. CONTENT: This content is from the middle of the session.
N (SW intern said,
SW intern said: I would
like to clarify that this is
session with me.
During our session last
week we spoke more
about how your anxiety
and depression is
affecting your recovery.
When we met last week
you stated you have
I want MM to identify
more healthier and
effective ways to
manage her anxiety
I understand that
always dealt with
anxiety and depression,
but you feel like it has
gotten worse since
youâve stop using. What
methods are you using to
MM: After my kids were
taken away in 2017 I
went into a very very
dark place and I began
making threats of suicide
so I was admitted to
inpatient treatment for 1
week then outpatient for
90 days. During that
time I was giving
Vistatril but I stopped
taking it after my 90
treatment and began self
medicating, if you know
what I mean.
SW intern said: Ok, so
you stopped taking the
and began to self-
marijuana and cocaine.
MM: Yes, I did
SW intern said: So,you
men9oned your kids
were taken away in
MM: Yes, that stupid
state took away my
babies, and I havenât
seem them since. I miss
them so much, not a
days goes by that I do no
MMâs depression and
anxiety is a>ec9ng
her recovery. The
client used her drug
of choice to help with
depression, but she
now has to manage
her anxiety and
her drug of choice.
Engaged, Calm Engaged, Calm
think about them.
The client needs to
To identify various
ways to manage her
anxiety so she doesnât
go back to using
I feel bad MM
children were taken
away from her, but I
want her learn how
anxiety without drugs.
sad, teary eyed,
IV. IMPRESSIONS/ASSESSMENT: 1) What did you observe throughout the session — behavior and
a>ect; 2) was the behavior/a>ect appropriate, explain; 3) how does this behavior/a>ect Bt with what
you know about the clientâs past behavior/a>ect; and 4) iden9fy the major themes/issues that emerged.
ï· Based on my observation the client stated she has been dealing with depression and anxiety since
she was sexually abused at 12 years old. Client reported spending time in both inpatient and
outpatient treatment and was prescribed her Vistaril, but stopped taken it at the end of her
inpatient and outpatient treatement.
ï· Throughout the session, the client was very engaged and calm, but towards the end of the session,
when asked about her children that were taken away from her, MM became very sad, teary eyed
and began to cry.
ï· The clientâs addiction has affected his life in various are
ï· During past and current sessions, the client was very engaged and calm and expressed wanting to
learn better ways to manage his depression and anxiety.
ï· The client is aware of how his addiction has impacted and life and wants to do everything he can
to maintain his sobriety.
ï· The clientâs biggest issue is learning to manage his depression and anxiety without his drug of
V. USE OF PROFESSIONAL SELF: Choose two signiBcant interven9ons you made: 1) iden9fy/describe;
2) what was your impression of your e>ec9veness; and 3) what would you change.
ï· CBT would be my first intervention. The client has been dealing with depression and anxiety
since she was 12 years old. It is very important that the client get on meds to help her manage her
depression and anxiety, as well as learn healthy coping methods. I was able to assist the client
with gaining a clear understand of how depression and anxiety meds along with various coping
methods can help her manage her depression and anxiety and why it should be added to our
treatment plan for her.
ï· The other intervention I used with the client was group sessions. Group sessions with other
individuals battling addiction can helped the client to realize that he is not the only one battling
with addiction and that there are many other individuals with similar stories and situations like
him. I was very impressed with how effective the group session was with this client. The client
was very engaged in the group discussions and shared a lot of things that he did not share in the
individual sessions with the licensed therapist. Because of how effective the group session was
there is nothing I would change.
VI. PLANS: (Brief statement of your plans for the next session, long range goals, short range goals that
are relevant for this client.)
The next session will take place at the same 9me and loca9on. My plans for the next session are discuss
with the client what else has be done to manage her anxiety and depression other than force herself to
sleep. A short-range goal for this client is to develop one healthy coping method to manage her
depression and anxiety.
VII. ISSUES, QUESTIONS OR PROBLEMS: (To explore in supervisory sessions.) Areas to explore in your
supervisory conference: include issues of diversity, value dilemmas, counter-transference etc.
During this session, the client was very engaged and wanted to learn different ways to manage her
depression and anxiety. This was the clientâs 3rd session, and she has completed all tasks and assignments
that she has asked to complete. The client is engaging at 100% and is making great progress.
EXPLANATION OF PROCESS RECORDING SECTIONS
Interview Content: Begin this sec9on with a short descrip9on of where and when (the date and 9me)
the interview took place, (e.g. standing in a hallway, mee9ng in an oIce, etc.), who was present, and its
purpose. For purposes of conBden9ality, change the name of your client or use ini9als only.
Select a 10-15 minute exchange and record word for word what happened during the interview
including verbal and non-verbal content, which may include silence, gestures, and other details that
occurred during the interview. The goal is to write the exchange as closely as possible to the actual
Skills Used: Iden9fy the social work skills u9lized throughout the interview. Iden9fy the skills you
learned from your social work courses. Include the theory behind your prac9ce and why you chose a
par9cular technique, and what knowledge of human behavior helps you to understand this interac9on.
This sec9on will raise your awareness of the techniques you are using in your prac9ce.
Your Thoughts/Feelings/ Reac/ons: Record how you were feeling as the interac9on was taking place.
Before you write this sec9on, take a few moments to read through your exchange sec9on by sec9on and
then reKect back to how you felt during that 9me. Describe your subjec9ve reac9ons (thoughts, feelings,
sensa9ons) to your own words during this exchange. How did you respond to your own words or those
of your client? Analyze why you think your interac9on with the client unfolded in the manner it did.
What is your assessment of your clientâs reac9on(s)? ReKect on the strengths and weaknesses of your
interven9on and iden9fy an area you would like to improve upon for your next session.
Client Feelings A0ect: Interpret the interview. Include detail about the tone and climate of the seMng,
your ini9al impressions of aMtudes and feelings of the client, what aMtudes and feelings you brought to
the interview, what signiBcant changes in the client occurred during the interview in terms of
appearance, gestures, and posture?
Field Supervisor Comments: Supervisor provides cri9cal feedback in wri9ng to the student, and
discusses their review of the process recording with the student during supervision. The focus of the
Field Supervisorâs analysis should be wriNen in clear language so that the student understands the
educa9onal value of the feedback, including references to social work knowledge, values and skills