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Follow‐Up

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In the follow‐up session after his final exams, Bobby said he could now see the revised diagram in his head and use it. He could now tolerate shifts in mood, which still came but were now less extreme. There had been some tough times and he had rung Samaritans once just to talk to someone. Things were not all resolved and there were still times of despair, but he felt he could survive and work his way out of, or into, relationships with more mutual understanding.

He had seen his GP and was seeing the asthma nurse regularly. He had resumed a more balanced relationship with Elizabeth, was sleeping better and living a more healthy, self‐caring lifestyle. He had been able to sustain academic work with a more normal sleep pattern, obtained a degree, and had a more realistic career goal not based on fame. He no longer thought he needed long‐term therapy and was on better terms with his mother, brother, and sisters.

Introducing Cognitive Analytic Therapy

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