Date: January 24, 2012 Setting: At around 6:00 pm in Quirino Hill Objective: To help the client understand the

problem. To help the client address the problem. Interaction SN: Sabi mo last time, na natuto kang magalit ng sobra. C: Oo. SN: Paano ka ba talaga magalit? C: Pag kaya ko pa, kinikimkim ko pero pag nasobrahan na yan na nanggugulpi na. Patient Client agrees to the summary of student nurse regarding the last conversation. Client is being honest with the SN. He tells what he really feels while in the said situation. According to Freud, in order to protect self and cope up with painful feelings, ego uses ego defense mechanisms. The client has poor anger management. Client is aggressive and violent when angry. Analysis Nurse SN summarizes the previous conversation and relays it to the client. She is therapeutic in conversing with the client. SN assesses the clients way of managing anger. Modification/Evaluation

SN: Nanggugulpi ka? C: Oo. Yung taong rason kung bakit ako galit ang ginugulpi ko. Pag hindi ko naman magawa, sarili ko nalang pinapatulan ko. SN: Ano ang nagpreprevent sayo na gulpihin ang isang tao? C: Pag mahalaga sakin ang isang tao, mahirap siya

SN restates clients previous answer to clarify answer and to elaborate it. She is therapeutic in doing so. SN tries to extract more information by asking questions.

Client is prevented from hurting others if he has established a relationship with them.

patulan parang si gf. Pag ibang tao naman parang andaling patulan at sarap patulan. SN: Pag ba mas matanda sayo ginugulpi mo din pag ginalit ka? C: Depende sa kung gaano katanda. Kung mejo batabata pa, oo kinakaya ko. Pero pag mejo matandatanda na, hindi. Baka ikamatay pa niya. Ang ginagawa ko nalang, awayin sila sa salita.Tsaka pag babae, hirap gulpihin kasi maarte. SN: Panu pag sa ka-edad mo? C: Walang patawad ah. Parehas lang kami ng lakas kaya sakto lang. SN: Sa mas nakakabata sayo? C: Ganun din lang, pag sobrang bata hinahayaan ko nalang at pinapagalitan na lang. Pag yung mejo malapit na sa edad ko, pede. SN: Bale ang gagawin natin ngayon, hahanap tayo ng pedeng gawin mo pag nagagalit ka. Sabi mo

Client is conscious of who to hurt when angry. He hurts only those who he knows can fight back.

SN tries to extract more information by asking questions.

Client is not the submissive type of person. He is aggressive so that he can adopt to the environment.

SN asks more questions to figure out whats hes going to do.

Client is trying to find a way to control temper. But is not commited in trying to change his attitude towards

SN is trying to help the client think of ways to manage anger.

nanggugulpi ka dba, so ano ba pede mong gawin bago kaa manggulpi? C: Pag-isipang mabuti yung gagawin. SN: Ano pa? C: Hinga na malalim o magbilang. O lumayo nalang para hindi na mas lalong mabadtrip. SN: Kaya mong gawin yan pag galit ka? C: Susubukan ko. SN: May galit ka ba ngayon? C: Kanino? SN: Kahit sino. Kahit sa gf mo. C: Wala naman. SN: Yung mga kinikimkim mong galit ngai? Gusto mo ilabas? C: O sige. Paano ba? SN: Isulat mo lahat ng nararamdaman mo sa papel na ito. Lahat ng galit mo at gusto mo sabihin sa kanya. Dito nalang ako sa tabi para mabigyan ka ng space at privacy. (Client is blinking eyes more than normal.)

anger since he did not say a positive answer,

Client agrees to the uncensored letter to let go of whatever feelings he has. He is reluctant at first but then agrees. According to Sullivan a non-satisfying relationship produce anxiety which is a basis for all emotional problems. If the client lets go, he will be able to have more satisfying relationship thus reducing anxiety.

SN tries to get the client to speak up by asking questions.

Client is preventing the emotions from being expressed.

SN: Nasulat mo na? C: Oo. SN: Gusto mo bang basahin ko? C: Wag ahh. SN: Ano garud gusto mog gawin natin sa papel na ito? C: Itapon nalang ay di pala, akin na sunugin ko nalang. (Burns the paper)

Client has let go of some of the bottled emotions inside him. Maybe he burned the letter to symbolize letting go.

SN tries to get the permission from the client to read the letter.

SN: Ano nararamdaman mo Client is a relieved by the ngayon? activity. He expressed his C: Mejo okay na pero may relief by smiling. konteng galit pa din. SN: Sino ba sinulatan mo? C: Basta. Yun na yun (smiles). Goal met since client participated well.

SN tries to follow-up clients feelings after the activity. She tried to assess if the client was okay after the activity.