Power Threat Meaning Framework (PTMF) Note

Client: Sarah Jones Date: 1 November 2024 Worker: Dr. Emily Carter **MSE:** Appears her age, well-groomed, cooperative, normal speech, congruent mood, appropriate affect, linear thought process, no active suicidal ideation, intact cognition, good insight, low risk. **Presenting Issue:** - Reports feeling overwhelmed by work and family responsibilities. - History of anxiety and occasional panic attacks. - Seeking strategies to manage stress and improve coping mechanisms. **Focus/Support:** - Explored the client's current stressors and triggers. - Discussed relaxation techniques and mindfulness practices. - Provided psychoeducation on anxiety management. **Next Step:** - Schedule a follow-up session next week. - Client to practice relaxation techniques daily. - Client to consider joining a support group. **PTMF:** Power: - Feeling of being controlled by external demands. - Lack of control over work environment. Threat: - Financial pressures. - Fear of failure. Meaning: - Believes she must always be productive. - Sees herself as responsible for everyone's happiness. Response: - Avoidance of difficult situations. - Increased irritability. Strengths: - Strong support network. - Resilience in the face of adversity. Story: Sarah's narrative centres on a lifelong pattern of over-achievement and people-pleasing, leading to chronic stress and anxiety. She is beginning to recognise the impact of these patterns and is motivated to make changes. **Outcome:** Sarah engaged actively in the session, expressing a willingness to explore new coping strategies. She appeared relieved to have a space to discuss her challenges and left feeling hopeful about the future.