Counselor's Cognitions

Subjective: The client appear to be a little anxious while expressing her upcoming trip to see her parents. She’s worried because she has to fly and recently her friend was just killed in a plane crash. Her sweaty palms and clammy appearance suggest this is a true fear. Her meeting at my office suggest this is something she would like to work on so she can visit her parents for the holidays.
Objective: I wanted to focus on the fear of flying itself and her cognitions around flying. She expressed her concerns because of the recent incident regarding her friend. She lost her friend three months ago in the plane crash. Which is still fresh in her memory. I explained if there were any previous experiences in which she have lost someone else due to a plane crash. This is her only experience losing someone in a plane crash but it was a close friend which is making the impact more serve.
Analysis/Assessment: Client seem to be struggling more with the lost of her friend rather than the incident. The incident does play a role
She appeared anxious and nervous as evidenced by her shaking and fumbling her words. When asked why she seem so anxious she explained she does not think she was ready to examine her trip to visit her parent because her fear of flying was great. Counselor began the process of evaluating and examining her cognitions regarding flying. Counselor examined prior history and experiences around losing love one in tragic events. She explained this is the only event in which she lost someone close to her in a tragic event. Counselor educated her developing coping skills and increasing her support system. Client agreed having someone accompany her on the trip along with some coping skills like deep breathing or mediation could help her get over some of her anxiety. For homework counselor have her reaching out to at least one person and asking if they are willing and available to accompany her on the