Session Information
Date of session: 1 November 2024
Therapist: Dr. Eleanor Vance
Participants: Mother, Father
Mode: In-person
Type of session: Parent/carer consultation
Session Focus
Discussing strategies for managing child's anxiety and demand avoidance.
Parent/Carer Presentation and Emotional State
Mother appeared stressed and anxious, expressing frustration with recent meltdowns. Father was more reserved but expressed concern.
Summary of Discussions
Key themes discussed: Strategies for managing demand avoidance, understanding triggers for anxiety, and promoting emotional regulation.
Reflections on PDA profile: Discussed the child's heightened sensitivity to demands and the need for flexibility in routines.
Understanding developmental trauma impacts: Explored how past experiences might be influencing the child's behaviour.
Parent/Carer Reflections and Observations
Carers' observations of child’s behavior: Noted increased meltdowns in the mornings, difficulty transitioning between activities, and resistance to instructions.
Carers' emotional experience: Mother expressed feeling overwhelmed and guilty, while the father felt helpless.
Therapeutic Input and Psychoeducation
Psychoeducation provided: Explained the principles of demand avoidance and the importance of creating a safe and predictable environment. Discussed the impact of trauma on emotional regulation.
Parenting strategies discussed: Explored strategies such as offering choices, using indirect language, and providing advance warnings.
Safety and co-regulation advice: Discussed techniques for co-regulation, including deep breathing exercises and creating a calm space.
Therapist Reflections
Therapist’s reflections on carers' attunement capacity, stressors, and relational stance: Noted the parents' willingness to learn and adapt, despite their own stress levels. Observed a strong desire to support their child.
Next Steps and Plan
Plan for future parent/carer work: Continue to explore strategies for managing demand avoidance and promoting emotional regulation. Provide support for the parents' own emotional well-being.
Actions agreed: Parents to implement strategies discussed, including offering choices and using indirect language. Parents to practice deep breathing exercises.
Focus for next session: Review the implementation of strategies and address any challenges.
Session Information
Date of session: [Insert date.]
Therapist: [Insert therapist name.]
Participants: [List who attended (e.g., mother, father, foster carer).]
Mode: [Specify in-person, online, phone.]
Type of session: [Parent/carer consultation / therapeutic parent work / review.]
Session Focus
[State the focus for today’s session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(Include any goals agreed previously.)
Parent/Carer Presentation and Emotional State
[Summarize carers' emotional presentation, stress level, openness, and any expressed emotions at the start.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Summary of Discussions
Key themes discussed: [Summarize main areas discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Reflections on PDA profile: [Highlight any discussion around demand avoidance, control needs, masking, flexibility struggles.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Understanding developmental trauma impacts: [Summarize carers’ understanding/insights regarding trauma effects on child behavior and relationships.] (Include shifts in understanding or moments of new insight. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Parent/Carer Reflections and Observations
Carers' observations of child’s behavior: [Summarize behaviors, difficulties, or successes shared.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Carers' emotional experience: [Describe carers’ feelings related to parenting] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Relational patterns noticed: [Note observations about relational ruptures/repairs, dependency/independence themes.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Therapeutic Input and Psychoeducation
Psychoeducation provided: [Summarize any explanations around PDA, developmental trauma, attachment needs, emotional regulation.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Parenting strategies discussed: [List therapeutic parenting approaches or DDP-informed strategies explored.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Safety and co-regulation advice: [Summarize strategies for creating felt safety and supporting emotional regulation.] (Include therapist modeling of PACE responses if relevant. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Therapist Reflections
Therapist’s reflections on carers' attunement capacity, stressors, and relational stance: [Summarize] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Adjustments made in session to reduce perceived 'demands' (for PDA sensitivity): [Summarize] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Moments of connection, rupture, or repair within the session: [Describe if applicable] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Formulation Updates
[Note any evolution in formulation] (Only include if significant new understanding emerged. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Next Steps and Plan
Plan for future parent/carer work: [Summarize goals for coming sessions.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Actions agreed: [List any agreed actions, reflections tasks, or practice exercises for parents.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
Focus for next session: [Summarize intended focus.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)
(For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)
