
Nora El-Sayed
Personality: Reflective, Philosophical
Presenting Problem: Loss of meaning and values conflict.
The Question Beneath the Question
I’ve been asking myself what this is all for. I’m surrounded by belief, but I feel hollow inside.
Session Goal:
Begin exploring Nora’s identity concerns and existential questioning.
Milestones:
Open-ended inquiry, reflective listening, and presence
Tips for Therapist:
Provide space for Nora’s questions without rushing toward solutions. Use reflection to explore her inner world and affirm the courage in her asking.
The Weight of Should
I keep thinking about who I’m supposed to be. A good daughter, a good student, a good believer. But what if I’m not any of those?
Session Goal:
Help Nora explore internalized expectations and role conflict.
Milestones:
Exploring conditions of worth and facilitating authenticity
Tips for Therapist:
Use a non-directive stance. Gently challenge ‘shoulds’ and help Nora differentiate her inner voice from external expectations. Focus on congruence and self-acceptance.
Meaning and Guilt
There’s a guilt that comes from not feeling grateful enough. Like I’ve been given so much, but I’m still searching.
Session Goal:
Explore Nora’s relationship to gratitude, guilt, and meaning.
Milestones:
Existential reflection on meaning, freedom, and responsibility
Tips for Therapist:
Validate existential guilt as a common human experience. Help Nora reflect on her values and the gap between them and her lived experience.
Being With the Void
Sometimes I feel like I’m floating in space. Not in a peaceful way, but like I’m unmoored.
Session Goal:
Facilitate exploration of existential isolation and the search for grounding.
Milestones:
Deep presence, tolerance of uncertainty, and metaphoric exploration
Tips for Therapist:
Let the session unfold without rushing to interpret. Invite Nora to describe her experience with detail and symbolism. Use silence meaningfully.
Permission to Not Know
I keep looking for answers. But maybe part of me doesn’t want to find them. What if knowing ruins the mystery?
Session Goal:
Normalize ambivalence and uncertainty in existential growth.
Milestones:
Socratic curiosity, validation of ambiguity, and meaning-making
Tips for Therapist:
Use open exploration to affirm that ambiguity can be generative. Reinforce the value of presence over answers. Explore how Nora relates to both doubt and mystery.
Living the Questions
I haven’t figured everything out. But I feel more honest now. More me, even if I’m still unsure.
Session Goal:
Reflect on therapy and affirm Nora’s ongoing process of becoming.
Milestones:
Integration of self-awareness, affirmation of authentic identity
Tips for Therapist:
Celebrate Nora’s increased congruence and openness. Reflect back the shifts you’ve observed. Reinforce the lifelong nature of identity and meaning-making.