Session scribe & supervision

Layla H.

Session 2 · 16 Sept 2026 · 44 mins audio

CBT Session Note

Audio & transcript

Simulated bilingual session capture

0:0044:00

Doctor0:04

قبل ما نبدأ، كيف كان الأسبوع؟ How has the checking been since Tuesday?

Patient0:16

كل مرة أطلع من البيت أرجع أتفقد القفل. I know it’s locked, but the thought says if I don’t check, the house will burn.

Doctor0:32

That prediction — something terrible happens if you don’t check — what do you notice in your body at the door?

Patient0:46

صدرى يضيق، وأعدّ لحد خمسة. Then I feel I can’t trust the feeling of already knowing.

Doctor1:01

Last week you left once without the extra check. What did the thought say would happen, and what actually happened?

Patient1:16

Nothing happened. But I spent the meeting catastrophizing. Belief was about 80 at the door. Maybe 40 now.

Chief complaint

Mood statePresenting trigger

Automatic thoughts

Automatic thoughts & cognitive distortions

An ordinary exit is treated as the start of a fire, a break-in, or a professional humiliation.
One skipped check means the whole safety routine has failed. Partial success is not encoded.
Having the image of harm is experienced as raising the chance of harm, so neutralizing feels morally required.

Clinical interventions

Action plan for next week