Verbatim for Reflection of Feeling

Identifying Information

Name: SK

Age: 21

Gender: Female

Language: English, Hindi

Occupation: Student

Education: Post Graduation.

Religion: Hindu

Marital State: Unmarried

Economic Strata: Middleclass

Informant: Self

Referral: Self

Information: Reliable

Presenting Problem: I have stage fear and anxiety

History of the Presenting Problem

SK is a 21-year-old female in Bangalore who was asymptomatic before her school years. There
seems to be a series of incidents resulting in her present anxiety. She may have been bullied in
school and may have received criticism from a teacher for a performance. Presently, SK feels
anxious while giving a presentation in class and feels that she cannot give her best

Sl no. Therapist/Client Verbatim Processed

Comments

T1 Therapist So, hi S.K. Good morning. The therapist greets

the client

C1 Client Good morning The client looks

tense

T2 Therapist How are you feeling? The therapist asks a

close ended question
about the client’s
feelings

C2 Client I am feeling good The client has a

neutral expression
T3 Therapist So, from our last session you The client
told me that you have a stage summarises what
fear and anxiety. You were not was discussed in the
able to give your presentation previous session.
and you get scared to be She asks an open
among a huge group of people. ended question.
So has there been any incident
lately that you would like to
narrate to me, where you felt
so?
C3 Client Yeah, It's not that with a huge The client shakes her
group of people always. Even leg while talking,
if I have to go to a restaurant perhaps
and order food, even for unconsciously.
one-to-one conversations I
cannot do that;like I fumble up
I have to order one simple
basic thing. I fumble up and I
cannot do that. so either I have
to tell my friends to go and
order for me. that's what I have
been doing. uh… Also about
the presentation, even the topic
was really easy, I understood
everything, and I thought ki I
can make the class understand
everything, but as soon as I go
there, its all blur and I just
don't remember anything at
present. I just look at the faces
and that makes me nervous.
But When I am not looking in
the faces of anybody, then I am
okayish, I will be doing good.
Once I like the thing, like not
looking, anybody.. But when I
look at them or focus on
somebody, then I just fumble
and I just read out the paper
and that's it and I come back
 which makes me feel a little bit
bad. Even though I could have
done much much better. when
I am not looking at people, I
am okay everything is fine

T4 Therapist Okay. So, you feel that people The therapist asks a
will judge you? probing question.

C4 Client Yeah, The client nods.

T5 Therapist What makes you feel so? The therapist asks an

open-ended question.

C5 Client It's that in my mind have the The client has a

questions if what the person is neutral expression.
judging me based on my She uses hand
posture and way my body gestures.
language or words I am using.
It's just makes anxious. And
also if someone asks me
questions, I will be blank even
I know the answer in my head
but I don't have the ability to
have the discussion with them.
T6 Therapist Okay, what types of The therapist asks a
judgements do you feel that probing question.
people will judge you. What
judgements would they make
if you don’t present?

C6 Client It's just that they might have The client shakes her
the feeling that I am dumb. head while talking
And this thing happens even if
it's a group of 20 people or 5-6
people, even if I have to tell
my opinion, I won't be able to
make the other person
understand what I mean, they
might get it in a wrong way or
they might not understand.

T7 Therapist (Silence) Okay so, what are The therapist asks a

some of the experiences that probing question
you go through when you feel
that way?
C7 Client Experience like, now only in The client changes
college there are so many posture, maintains a
presentations we have to neutral expression
give(clears throat) even are
topics that are easy we could
do it and we do it in group. so
the thing is that I am okay
when I am preparing for it. I
know I can do it well and I
understand everything, but
when there is the time to
present, I go blank and I just
look in the ppt and whatever is
there and I am unable to
explain it even when I know it
and I did practice even in front
of mirror and friends but still
while doing presentation I do it
that way.

T8 Therapist How would you name that The therapist asks a

feeling? probing question
about the client’s
feelings

C8 Client Nervous The client has a

nervous smile.
T9 Therapist Nervous? Okay.. The therapist seems
unsure of what to ask
next

C9 Client Also after done even though it The client moves her
was the worst, I feel like guilty foot while talking.
because I know I have
capabilities of how to do it
good. When it comes to crowd,
not even crowd, more than 5
people or 6 people, I feel
anxious and I am unable to
understand.

T10 Therapist Could you describe about any The therapist asks a
physical, physiological, probing question to
experiences you have that understand all
time? aspects of the
emotion

C10 Client So, yes.. My heart beats go The client shakes her
way too fast, and also I sweat, head while talking
and I keep on rubbing my
thumb like my palms together,
the basic is that I keep on
shaking the leg. so these are
 the physical things I go
through.

T11 Therapist Okay, what are some thoughts The client asks a
that come to your mind when probing question to
these physiological understand the
experiences occur? thoughts behind the
client’s emotions

C11 Client Thoughts in the sense, I am The client talks at a

scared when the people are slightly faster pace
looking at me. Not even while
presenting but before that.
when other's presenting I just
look at people and see how
they are giving expressions or
they are understanding things
or not and when my time
comes, till then I get to know..
okay everyone's focusing on
me and now it's my time, so it
feels like they are done with
everything and there is no use
making them understand.

T12 Therapist (Prolonged Silence) So, as you The client asks a

said that you are scared that probing, open ended
people make judgements, what question
 made you think so that people
would make judgements?

C12 Client Its not like any particular thing The client fumbles
happened, anything like that. while talking
But also in school only I.. But
till class 6th I was very active
and I use to participate in
activities, but after that I don't
know what happened, it's just
that I became.. Uh.. Introvert..
Uh.. And I..okay.. Being an
extrovert might not be being
lovable from everybody so it
started making me feel
awkward. And that's why I
was like.. Let's just be in my
own space and I stopped
participating in any
co-orricular activities. Even if
I use to do, once or twice I go,
it was only like I was badly
forced by friends or for the
sake of doing it I just did. They
would be like.. Just do this
thing.. Because there is no
other one to play it. But I felt
like when I am not looking
into the public, I am doing
much better than to look into
 the public and to get the
feedback and all.

T13 Therapist Why did that thought come? The therapist asks a
probing question

C13 Client Because also when we were in The client elaborates

school we were like bullied in on the thoughts
recess so I already had the behind her anxiety.
thought ki I have to go in
public or something like that,
or when I am presenting or
something like that publicly,
the thought are like this ki they
know the story of me Or they
know something about me
probably that's why they are
having that face on. So that
made me feel anxious.

T14 Therapist So, have you had such The therapist asks a
experience in school? probing question

C14 Client About being anxious? The client asks for

clarification
T15 Therapist Yes? The therapist
provides clarification

C15 Client Yes.. Uh.. I have been anxious The client has a
obviously because whenever I neutral expression
need to participate. Anywhere,
before participating also,
giving my name on that list
make me feel like I won't do it
perfectly or can I do it. So
these things would come to my
mind.

T16 Therapist No, but you also told me that The therapist asks a
up to 7th you were very active probing question
in the co curriculum activities
so then after 7th did you begin
like being anxious?

C16 Client In 7th -8th I was okay. I was The client has a
participating but maybe I don't neutral expression.
exactly remember any incident
that happened, but I use to sing
so that's why I was called for
music department for a group
thing or some even or any
guest is coming. So I was
called for these things but with
 time I stopped doing it, with
time I was like I don't wanna
do it.

T17 Therapist So, right now in college also The therapist asks an
you have to give presentations, open ended question
how do you deal with that?

C17 Client In the back of my mind, I The client shakes her

know that I have to do it. head
There is no choice of me not
doing it.

T18 Therapist Okay, so are you able to give The therapist asks a
presentations? close ended question

C18 Client I will do it.. I will give it. But The client seems
the thing is that the way I have more free while
prepared for the presentation sharing
wouldn't be that way the way I
do in front of everyone and
that makes me feel very guilty
because know how well I can
do that.
T19 Therapist And how does that feeling of The therapist asks an
guilt come? open ended question

C19 Client Because..see the feedback

from my friends are always
nice like you looking good.
You did nice and everything.
But the thing is, I know that I
couldn't make the class
understand what I was
teaching and explain. So that's
why I know that the guilt feel
is there that I didn't do it.
Because when I was practicing
before the presentation alone, I
was actually doing good and I
know how I was explaining
but it's just that when I see the
face I feel stuck.

T20 Therapist So, do you think everybody in The therapist

your class is able to do it and attempts to use
you are the only one, who is Socratic questioning
very anxious?
 C20 Client I don't know… I don't
compare it that way and
everyone makes mistakes but I
think my mistakes are
noticeable and it will last
longer in people's head.. That
okay S has made this mistake,
S did this, S's behavior was
this way. so when I go back the
feeling lasts for 3 to 4 days
eventually I forget it but for
those days I overthink, I make
my own assumptions and my
own conclusions and then I
forget it.

T21 Therapist The most important thing here The therapist

is, you have understood the attempts to conclude
concept. It’s not whether you the session
are able to give the
presentation, the most
important thing would be that
you’ve understood what you
really wanted to say.

Consolidated report:

The client was a 21-year-old female who was experiencing anxiety while speaking in public. She
was worried about other people judging her. She was well-groomed and neatly dressed. She was
hesitant to talk about certain experiences in her life that may have led to her present anxiety.
Introspective report

Sometimes the therapist asked repetitive questions, like the question about judgments was
repeated in T11 and T23. When the client mentioned bullying, the the therapist should have
asked a probing question. Sometimes the therapist took awkward pauses while talking.