After each statement he made, I asked him to repeat those statements several times and check if repeating them gets better. Similarly, I asked him to make two more for the other 2 stressors. Once he shared that we made a When – then *1 statement I asked him to tell me what was the first thought that comes to his mind the moment he sees his boss. Ram mentioned his work, the sales targets and relationship with his boss as the primary reason for stress. I asked Ram to make a list of all the things in his life that were causing stress to him. Ram mentioned that while he was writing about the pros and cons he realized that he had to take good care of his health. We began session 2 in the next week by asking him about the week and any changes that he noticed in his behaviors, thoughts, or emotions. I also asked him to maintain a diary to make a note of his observations. So I asked Ram to observe his thoughts during the day and especially just before, during and after he smokes as his home assignment. Ram said that he did not pay attention to that. I asked Ram to describe the thoughts in his mind when he is about to pick up the cigarette. ![]() I asked Ram Click a photo of the same and make it the background and screensaver on his phone/laptop. Ram created a chart with a list of the pros and cons. I asked Ram to list down all the pros of quitting smoking and cons of continuing to smoke. Ram: I wish to be able to terminate smoking completely and manage my stress more effectively. I asked Ram to read the statement a couple of times and tell me what was the desired outcome that he wanted to achieve at the end of these sessions in the format: I feel helpless about not being able to cease smoking when I feel stressed. ![]() I then asked Ram to reframe her problem statement using the following format: I asked Ram to summarize the current challenge he was facing and wanted to overcome via therapy in her own words. The first session focused on helping Ram define his current situation, desired outcome, and expected future. Session 1: Defining Challenge and Desired Outcome Restructuring the thoughts and reconditioning the associated feelings.Identifying the specific thoughts that he has which allow him to continue to smoke and the feelings that are stopping him from quitting smoke.Learning alternate strategies for stress management.Identify trigger for stress and other triggers that lead to smoking. ![]() Exploring the relationship between level of stress and no.Defining the expected outcome from the sessions clearly.Then I walked him through the pre-coaching process.Īfter helping him understand the therapy process, I added that in his case, once we have defined the current problem and outcome clearly, I will help him. I suggested Cognitive Hypnotic Psychotherapy (which is an eclectic approach to Psychotherapy) for working towards quit smoking. I am now worried that this is getting out of my hands and would want to terminate smoking before my health starts getting affected severely.Īs always in the first consultation session, after hearing Ram’s challenges, I began by psycho-educating Ram about the core concepts behind the process I follow. Initially, I began with casual smoking but recently I’m noticing that with the level of stress increasing at work, I am smoking at least 4 – 5 times every day. Most of my friends smoked, while I resisted initially but once before the exam, I was very stressed and picked up smoking as a way to manage stress. Ram : I started smoking at the age of 17 when I was staying in the hostel. After having an initial conversation over the phone, we planned for a consultation session.įor details about the techniques mentioned in the case study, check the references at the end of the case study Smoking Cessation Counselling – Step-by-Step Guide to quit smoking He was wondering whether therapy can help him for his concerns regarding to abort smoking. Recently, I received a call from Ram (name changed) who wanted to terminate smoking.
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