How Noah uses Therachat to stimulate clients to practice skills and keep therapy top of mind
"Therachat creates a connection to the therapy and the therapist outside of session"
Therachat helped one of my clients to conquer social anxiety.
Noah Clyman, LCSW-R, ACT
In Private Practice
Therachat-user since July 2017
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How Therachat helped Noah & His Clients
The Problem
I wanted to help my clients keep therapy on top of mind so they would practice the skills learned in session, outside of the sessions and ultimately progress faster.
Favorite Therachat Activities
- Custom activities
- Distress level tracking
- Throught reframing
The Situation
One of my clients had a social anxiety disorder, specifically a fear of people being critical of her. The consequence of that is she would avoid social situations altogether. If she did go into them, she would do so with a great deal of distress and engages in various forms of avoidance, which created problems because her anxiety got stronger and stronger over time.
Concrete Use-Case
In the beginning of treatment we spelled out what my client's problems and the goals for her
treatment.
One Therachat assignment early on was to list problems as she experienced them during the week
that were a result of social anxiety, and add goals she wanted to reach as a result of therapy.
I then asked her to track and do some mood monitoring
to notice when she felt anxious and to determine whether it happened during a social
interaction,
afterwards or while she was thinking about a social situation.
I also asked her to note where she was and what she was doing at that time.
Therachat became a good place for her to record those prompts and create a log.
After she became accustomed to tracking her anxiety, she started to get some useful information
out of
Therachat about when she felt most anxious, and what kinds of thoughts she tended to have at
those times.
She started becoming more aware of her triggers.
Together we came up with assignments to help her deal with those triggers. We used Therachat to
do specific thought records, for example.
Therachat was also helpful to help her to plan, schedule and confront social situations
that she usually avoided.
Once that worked, we started to take those assignments and applied them into other parts of her
life, related to talking to people at work, talking to people in her apartment building up until
creating deeper connections with people.
These are just some examples of how we used the Therachat to work on conquering social anxiety,
both in terms of her behaviors, her activities, but also her thinking style.
“ Therachat allows us to work collaboratively and makes my clients more aware of their triggers.
Noah Clyman
LCSW-R, ACT
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