Session 8
17 Sept 2026CBT Session NoteReviewed the lock-check experiment. Belief rating fell in session. Set a two-minute response-prevention delay for the next three exits.
48 mins audio94% — Excellent CBT Fidelity
Caseload
SM
Patient record · MRN-SM-1042
Sarah M. · 29y
Generalized Anxiety & OCD
CBT ModeActive CaseUnder SupervisionPending Sign-off
- Assigned therapist
- Dr. Ahmed Hanafy
- Total sessions
- 8
- Latest supervision
- 94% · Excellent CBT Fidelity
Session timeline
Chronological clinical encounters with supervision scores
- View Full Session, Audio & Notes
- View Full Session, Audio & Notes
Session 7
10 Sept 2026CBT Session NoteDownward arrow from the fire prediction to a core fear of being irresponsible. Built a hierarchy for leaving without re-checking.
50 mins audio91% — Strong CBT Fidelity - View Full Session, Audio & Notes
Session 6
3 Sept 2026CBT Session NoteThought record on a work meeting spent catastrophizing. Balanced alternative was collaborative, not reassuring.
46 mins audio88% — Solid fidelity, pacing to tighten - View Full Session, Audio & Notes
Session 5
27 Aug 2026CBT Session NoteMapped thought-action fusion. In-session imaginal exposure to leaving the lock unchecked for ninety seconds.
52 mins audio90% — Agenda and homework aligned - View Full Session, Audio & Notes
Session 4
20 Aug 2026CBT Session NoteBehavioral experiment designed: one planned exit, prediction written before leaving, outcome logged the same evening.
45 mins audio86% — Good alliance, more Socratic depth - View Full Session, Audio & Notes
Session 3
13 Aug 2026CBT Session NoteResponsibility pie for “if something happens, it is my fault.” Patient generated three alternative contributors.
47 mins audio84% — Formulation holding - View Full Session, Audio & Notes
Session 2
6 Aug 2026CBT Session NoteIntroduced the CBT model with a recent checking episode. Anxiety curve drawn together. Homework: one thought record.
49 mins audio79% — Early structure, psychoeducation heavy - View Full Session, Audio & Notes
Session 1
30 Jul 2026Initial Diagnostic IntakeGAD-7 16, Y-BOCS checking subscale elevated. Goals: reduce exits that end in repeated checking, and test catastrophic predictions.
60 mins audio76% — Complete intake, goals agreed