2 – Early test of therapy agreement | Monica Carsky

This 1o minutes videos describes early contract adherence intervention. The patient reveals that they cut themselves after a fight with a friend, which the therapist points out was not mentioned earlier despite their agreement to discuss any self-harm incidents. The therapist emphasizes the importance of addressing even superficial cuts as signs of underlying issues. The patient expresses frustration at feeling controlled by the therapist, while the therapist tries to understand the patient’s perspective and reiterates their commitment to helping the patient manage their feelings and self-destructive behavior.