Session scribe & supervision

Omar K.

Session 3 · 18 Sept 2026 · 55 mins audio

Schema Therapy Mode Note

Audio & transcript

Simulated bilingual session capture

0:0055:00

Doctor0:06

You smiled when you said the week was fine. What was the feeling just before the joke?

Patient0:18

خجلان شوي. Like if I need another day on the draft, they’ll finally see I’m not good enough.

Doctor0:34

That voice — “you don’t get to be tired” — which mode is speaking?

Patient0:48

Demanding Parent. The one that sounds like my supervisor, but meaner. Then I go numb so I don’t have to hear it.

Doctor1:06

Can we let the Vulnerable Child answer for a moment, before the protector steps back in?

Patient1:22

I just wanted someone to say the draft was enough. حتى لو مو كامل.

Chief complaint

Mood statePresenting trigger

Automatic thoughts

Schemas & modes identified

Internal voice: “You don’t get to be tired. Everyone else manages.” Linked to a defectiveness schema.
Joked and changed the subject when sadness showed. Shoulders dropped; eye contact broke.
Briefly accessible: “I just wanted someone to say the draft was enough.” Affect soft, about ninety seconds.

Clinical interventions

Action plan for next week