Reflections
Paraphrases
Questions
Incongruences
Combined
100

 Patient: “I’m very tired of everything.”

 Expected response: “It sounds like you’re really exhausted. Would you like to tell me more?”

100

Patient: “I argued with my best friend and now everything feels weird.”

“So you had a conflict with your friend and it has changed the relationship.”

100

Patient: “I’m sad”

Expected response: “What has been happening that makes you feel that way?”

100

Patient: “I’m fine” with a sad face

Expected response:  “You say you’re fine, but I notice you look sad. Would you like to talk about that?”

100

 Patient: “I’m stressed.”

Expected response: "It sounds like you're under a lot of pressure lately, what's affecting you the most?"

200

Patient: “Nobody understands me.”

Expected response: "It seems like you feel misunderstood and alone".

200

Patient: “I have too many things and I don’t know where to start.”

Expected response: “You feel like you have many responsibilities and don’t know how to organize them.”

200

Patient: “I did badly on the exam”

Expected response: “How did that make you feel?”

200

Patient: “Yes, I want to change” but does nothing

Expected response:  “You say you want to change, but it seems like you’re struggling to do so.”

200

 Patient: “I’m not sleeping well.”

 Expected response: “It sounds like sleep has been a problem. Since when has this been happening?”

300

Patient: “I can’t handle school anymore, it’s overwhelming.”

 Expected response: "It sounds like you’re feeling overwhelmed by school".

300

Patient: “I always leave everything for the end and then I get stressed.”

Expected response: “You tend to procrastinate, and that ends up causing you stress.”

300

 Patient:“I don’t like my major”

Expected response: “What is it about your major that you don’t like?”

300

Patient: Smiles while talking about something painful

Expected response: “I notice you’re smiling while talking about something difficult. What’s happening there?”

300

 Patient: “I feel like everything goes wrong for me.”

 Expected response:“It seems like you’re feeling frustrated because things aren’t going as expected.”

400

Patient: “Everything is wrong in my life.”

 Expected response: "It seems like you’re going through a very difficult time".

400

Patient: “I want to change but I don’t do anything.”

Expected response: “You feel a desire to change, but it’s hard for you to take action.”

400

Patient: “I’m confused about my relationship”

Expected response: “What is causing you the most confusion?”

400

Patient: Says everything is fine but avoids the topic

Expected response: “It seems like there’s something important we’re not touching on.”

400

 Patient: “I don’t know what to do with my life.”

 Expected response:“You feel lost regarding your future.”

500

Patient: “I don’t know what to do.”

 Expected response: "It feels like you’re very lost right now".

500

Patient: “I’m afraid of failing, so I don’t even try.”

Expected response: “The fear of failure is holding you back from trying.”

500

Patient: “Everything is weird with my family”

Expected response: “Can you tell me a little more about what’s going on with your family?”

500

Patient:“It doesn’t affect me” while crying

Expected response: “You say it doesn’t affect you, but I see that it moves you emotionally.”

500

 Patient: “I feel alone even though I have friends.”

 Expected response: “Despite having people around you, you’re feeling alone.”