Insane showerthought of revisiting John Halo goes to Therapy ideas where it's stitched together POVs of vague ass medicaid BIRP notes, session notes scribbled down, and John POV.
Behavior: J was alert and on time for session. He presented with a flat affect, answered in one word responses, and appeared uncomfortable with questions about his wellbeing and interests. Session focused on building rapport.
Intervention: Clinician used motivational interviewing and reflective listening to engage with J about his routine, work life balance, and treatment plan goals. Discharge planning was discussed. Clinician explained confidentiality for sessions.
Response: J responded with short curt answers or asked for clarification. He maintained a stiff posture and neutral face for most of session, sometimes frowning when confused. He stated he wanted to get back to work three times.
Plan: Clinician will follow up with J on mindfulness and DBT distress tolerance interventions.
Stiff, unblinking. Mimics body language and breathing patterns. Does not react to jokes
Master Chief doesn't like jokes?
Nervous when notes taken.
Eats and sleeps regularly
John was tired. There were plenty of missions in the past when he was tired and didn't want to be somewhere. Those missions had him alone and lost just like this very moment. But those missions were on far away alien worlds and not on a too soft couch with a white noise machine outside the door barely muffins voices in the hall.
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