• having trouble with sleeping schedule since school started

why is this a concern to client:

• have been sleeping late as she was catching up with studies/readings

• feel more tired the next day and worry that she might not be able to focus in class the next day

• sleeps at around 1am everyday and awakes up everyday at the same time around 730am

any approaches or actions she has experimented so far to manage her sleep routine (provided examples such as scheduling day so that she can sleep earlier)

• shared that she tried to work on improving her time management, such as waking up earlier on weekends so she can complete more work and sleep earlier

• tried to limit time spent on phone doomscrolling before sleep so that she can fall asleep faster

does she have any trouble falling asleep?

• she tends to use her phone before sleeping as she felt that she does not have much opportunity to use her phone

• manifested into her procrastinating her sleep time due to lack of personal time

• she emphasized the importance of having good time management to her so she can have a better sleep routine

OT clarified/summarised conversations so far before continuing session:

• she has tried to wake up earlier to get more done

• lack of personal time so tend to procrestinate

what are some things that can help with achieving the goal:

• having a timetable might be helpful in managing her time better

• but she felt that it might be hard to stick to the schedule, as it is something new in her routine

- Skipped to reality, can spend some more time on priority. Get to know the life roles of the client properly to get a fuller understanding of what lived experience the client might have and what other aspects of their life might impact them.

Reality:

- Good check in on client’s past actions and good clarification of strategy details during reality sharing.

- Good check in on past intentions, priorities and effectiveness of past strategies.

Opportunity:

- Explored the areas of opportunity that that the client can target.

- Could explore hypothetical scenarios to help identify problems and support strategy ideation.

Plan:

- Not much use of “we” statements which can help the client feel supported while they talk about their challenges.

- Good check in on what strategies the client can come up with. Might need more elaboration of the plan to ensure it is thought out properly.

- Can elaborate more on why those strategies were thought of to solidify the reasoning behind the strategy so that client has buy-in into the plan.

- Therapist tiered the client's strategies, maybe can consider doing them concurrently as it can maximise the impact on the client.

- Therapist did not provide any strategies to support client, can do so to better guide client.

Evaluate:

- Good check in on client's comfort to understand the feasibility of application of strategy based on their confidence.

- Can affirm client to boost their confidence or investigate the reason for their low personal rating on their confidence as you want client to be able to carry out their plan effectively.

- Can spend more time reconsolidating the strategies, steps and measures of effectiveness to ensure the confidence and compliance.

Review:

- To be done next session.