ON SCREEN: PSYCHOTHERAPY SESSION FOR DEPRESSIVE SYMPTOMS AND

LACK OF MOTIVATION

NEXT: THE FOLLOWING SESSION IS FOR EDUCATIONAL PURPOSES ONLY. THE

INDIVIDUALS IN THIS VIDEO ARE ACTING.

Scene 1: Introduction and Establishing Rapport

Therapist: Good morning, [Client's Name]. How are you feeling today?

Client: I don’t know… It’s hard to say. I’m just feeling really down.

Therapist: That’s completely okay. I’m glad you’re here to talk with me. Can you tell me a
little bit more about what’s been going on for you recently?

Client: I don’t know. I’ve just been feeling really tired and unmotivated. I don’t even want to
get out of bed some days.

Therapist: That sounds really tough, [Client's Name]. It must be hard to feel that way. Let’s
take this one step at a time. We’re here to work together, okay?

Client: Okay… I guess that’s a start.

Voiceover (Therapist Approach):

In this opening scene, the therapist is establishing rapport and normalizing the client's
feelings of depression. Creating a safe space for the client to share openly is key in
addressing depressive symptoms and lack of motivation. The therapist is aiming to build
trust and a sense of comfort for the client to feel heard.

Scene 2: Identifying Symptoms

Therapist: You mentioned feeling tired and unmotivated. What do those feelings look like
for you on a daily basis?

Client: I wake up, but it feels like I have no energy. I don’t want to go to work, and when I
do, it feels like I’m just going through the motions. I feel... empty.

Therapist: It sounds like you’re feeling disconnected from things that used to matter to you.
Does that sound about right?

Client: Yes. It’s like I’m just… existing. I don’t enjoy anything anymore.

Therapist: That sounds like a really hard place to be in. It’s important to recognize that
what you’re experiencing is real and valid. You’re not alone in this.

Client: It’s just hard to see any way out of it.

Voiceover (Therapist Approach):
In this scene, the therapist encourages the client to explore their daily symptoms. By
focusing on specifics like tiredness, lack of motivation, and disconnection from joy, the
therapist helps the client articulate their struggles. This is crucial for gaining clarity and
setting the stage for deeper exploration.

Scene 3: Exploring Thoughts and Beliefs

Therapist: I hear you saying you don’t enjoy anything anymore. Do you find yourself having
negative thoughts or beliefs about yourself or your situation?

Client: Yeah… I feel like I’m not good enough. Like nothing I do matters. I can’t seem to get
anything right.

Therapist: That sounds really heavy. It seems like you're carrying a lot of negative beliefs
about yourself. Can you recall when those thoughts first started appearing for you?

Client: I think it’s been going on for a while… I’ve always had moments where I felt like I
wasn’t good enough, but now it feels constant.

Therapist: It’s really insightful that you’re noticing these thoughts. Would it be okay if we
explored them more together?

Client: Yeah, I guess we could try.

Voiceover (Therapist Approach):

This scene focuses on identifying underlying thoughts and beliefs that reinforce depressive
symptoms. Cognitive Behavioral Therapy (CBT) would guide the therapist here, helping the
client identify negative thought patterns like self-criticism. This is key to shifting their
mindset over time.

Scene 4: Challenging Negative Thoughts

Therapist: Earlier, you mentioned that you don’t feel good enough. What would you say to
someone else who felt that way about themselves?

Client: I’d probably tell them that they’re being too hard on themselves. That they’re doing
their best.

Therapist: So, it sounds like you can offer compassion to others, but not necessarily to
yourself. How might it feel if you tried offering yourself that same kindness?

Client: It would feel… weird. I don’t think I deserve it.

Therapist: That’s a very real feeling. But what if your worth wasn’t tied to being perfect or
always doing things right? What if it was okay to not be okay?
Client: I guess that would be a lot easier, but it doesn’t feel like it’s possible.

Voiceover (Therapist Approach):

Here, the therapist encourages the client to challenge their self-critical thoughts by
reframing them with compassion. This is a crucial part of CBT, helping the client see how
their self-talk impacts their emotional state and their motivation to engage in activities.

Scene 5: Exploring Motivation

Therapist: You’ve talked a lot about not feeling motivated lately. What kinds of things used
to bring you joy or motivation before?

Client: I used to love painting, and I would go out with friends sometimes. But now, I just
don’t have the energy to do any of that.

Therapist: It sounds like those activities gave you a sense of fulfillment. Do you ever find
yourself thinking about them, even if you’re not sure you can do them right now?

Client: Sometimes I think about painting, but then I just push it aside. It feels pointless.

Therapist: What if we tried small steps? What if you picked up a paintbrush just for five
minutes, without any pressure?

Client: Five minutes seems manageable… I’ll think about it.

Voiceover (Therapist Approach):

In this scene, the therapist suggests breaking down activities into smaller, manageable
tasks. This is an important strategy for clients experiencing lack of motivation, as the
pressure to perform can often be paralyzing. Small successes can build momentum over
time.

Scene 6: Building Small Goals

Therapist: You mentioned painting earlier. How about setting a small goal around that?
Perhaps something like setting a timer for five minutes and seeing what happens.

Client: I could try that, I guess. I wouldn’t be too upset if it didn’t go well.

Therapist: Exactly. No expectations, just giving yourself the chance to do something you
once enjoyed. What other small goals could you set for yourself?

Client: Maybe I could try going for a walk each day. Nothing too long, just to get out of the
house.

Therapist: That sounds like a wonderful goal. Start with what feels achievable, and
celebrate each small step.
Client: Okay. I’ll try that.

Voiceover (Therapist Approach):

The therapist is helping the client break their larger, overwhelming goals into smaller, more
achievable ones. This is important for boosting motivation and building momentum.
Encouraging self-compassion along the way helps to reduce the fear of failure.

Scene 7: Addressing Emotions

Therapist: I hear you saying that sometimes you feel empty. What do you think is behind
that feeling of emptiness?

Client: I think it’s because I feel disconnected. From people, from myself. Like I’m just
going through the motions, but nothing really matters.

Therapist: It sounds like that emptiness is a result of feeling disconnected. Do you think
there’s something missing that you could start to reconnect with?

Client: Maybe. I used to feel really close to my friends, but I’ve stopped reaching out to
them.

Therapist: Would you be open to reconnecting with them, even if it’s just a small step like
sending a message?

C:
I guess I could try that.

Voiceover (Therapist Approach):

The therapist encourages the client to explore the root of their feelings of emptiness and to
think about small ways to address the underlying cause. Reconnecting with others can be a
key part of emotional healing and combating isolation, a common symptom of depression.

Scene 8: Exploring Support Systems

Therapist:
You mentioned friends earlier. Have you noticed how your relationships might have
changed since you’ve been feeling this way?

Client: Yeah, I’ve kind of withdrawn from them. I don’t reach out like I used to.

Therapist: It’s understandable that you might pull back when you’re feeling low. Do you
feel like your friends might be understanding if you reached out to them?

Client: I don’t know. I feel like I’ve been distant for too long.
Therapist: It can feel difficult to reconnect after being distant, but true friends will
understand. They care about you, and they may be missing your presence too.

Client: That’s comforting to hear.

Voiceover (Therapist Approach):

In this scene, the therapist explores the role of social support and how the client’s
relationships may have been affected by their depression. Reaching out for support, even in
small ways, is an important part of rebuilding motivation and a sense of connection.

Scene 9: Identifying Coping Strategies

Therapist: I hear that you’ve been feeling really stuck. When you feel this way, what have
you tried to cope with it so far?

Client: I’ve tried just ignoring it or distracting myself with TV or scrolling online, but it
doesn’t really help.

Therapist: Sometimes distractions can offer a temporary escape, but they might not get to
the root of how you’re feeling. What about something more active, like journaling or deep
breathing?

Client: I’ve never really tried journaling. It sounds a bit silly.

Therapist: It’s not silly at all. Journaling can help you express your feelings without
judgment. Would you be open to

trying it, even just for five minutes a day?

Client: I could give it a shot.

Voiceover (Therapist Approach):

This scene focuses on exploring active coping strategies. Journaling is suggested as a way
to process feelings and gain insight into the client’s emotions. The therapist is reinforcing
the idea that different methods work for different people and encouraging openness to new
approaches.

Scene 10: Setting Boundaries

Therapist: You’ve been doing a lot of thinking about what’s been draining you. Do you feel
like there are certain things or people in your life that are contributing to these feelings of
exhaustion?

Client: Yeah, sometimes I feel like I’m expected to do more than I can handle, especially at
work.
Therapist: It’s important to recognize your limits. How might you go about setting
boundaries at work or with others to protect your energy?

Client: I guess I could say no more often, but I feel guilty doing that.

Therapist: It’s common to feel guilty, but your well-being should be a priority. Setting
healthy boundaries is a form of self-care.

Voiceover (Therapist Approach):

Here, the therapist introduces the concept of setting boundaries. The client is encouraged
to protect their energy by learning to say no without guilt. This is a key element in managing
depression and maintaining motivation.

Scene 11: Exploring Self-Care

Therapist: We’ve talked a lot about challenges today. What are some small acts of self-
care that have helped you in the past, even if they seem minor?

Client: I used to love taking baths and reading books. But I haven’t done either in a long
time.

Therapist: Those sound like great ways to nurture yourself. What would it look like if you
reintroduced even a little bit of that self-care into your routine?

Client: Maybe I could take a bath tonight and read a chapter of a book.

Therapist: That sounds like a wonderful start. Small acts of self-care can make a big
difference in how you feel.

Voiceover (Therapist Approach):

In this scene, the therapist emphasizes the importance of self-care in managing depressive
symptoms. Self-care isn’t selfish—it’s necessary for emotional well-being. Encouraging the
client to incorporate familiar, nurturing activities into their routine is vital for long-term
healing.

Scene 12: Discussing Feelings of Shame

Therapist: Earlier, you mentioned feeling like you don’t deserve compassion or care.
Where do you think those feelings of shame come from?

Client: I don’t know. Maybe I’ve always felt like I wasn’t good enough, even when I tried.

Therapist: It sounds like there might be a deep-seated belief that you have to be perfect to
be worthy of love and care. Does that resonate with you?

Client: Yeah… I guess I always try so hard, but it feels like it’s never enough.
Therapist: It’s hard to carry that belief. But what if your worth isn’t tied to how much you do
or how perfect you are?

Client : I want to believe that. It’s just hard to let go of it.

Voiceover (Therapist Approach):

This scene touches on shame and perfectionism, which can be significant factors in
depressive symptoms. The therapist is helping the client challenge deeply ingrained beliefs
about self-worth and encouraging a shift toward self-compassion.

Scene 13: Focus on Progress

Therapist : We’ve discussed a lot of heavy things today. But I want to highlight the
progress you’ve made just by being here and sharing your thoughts. How does that feel for
you?

Client: It feels good to talk about it. I didn’t realize how much I’ve been carrying around.

Therapist : Acknowledging those feelings is a big step. You’ve already taken a positive
action today by seeking support.

Client: It feels like I’m taking control again.

Therapist : You absolutely are. Every step, no matter how small, is a victory.

Voiceover (Therapist Approach):

The therapist acknowledges the client’s progress, no matter how minor it may seem.
Celebrating small victories is important for building momentum and reinforcing a sense of
agency, which is crucial in overcoming depressive symptoms.

Scene 14: Reviewing Small Goals and Adjustments

Therapist : Earlier, we talked about small goals, like painting and going for a walk. How
have those been going for you?

Client: I tried walking a few times, and I felt a little better afterward. I haven’t gotten to the
painting yet.

Therapist: That’s wonderful progress. Even the walk is a step in the right direction. What
might help you take that next step toward painting?

Client: I think setting a time to do it would help. Like, just five minutes after work.

Therapist: Great! Small, manageable timeframes help you stay consistent without feeling
overwhelmed.
Voiceover (Therapist Approach):
Here, the therapist helps the client review their goals and adjusts them as needed. By
focusing on progress and setting clear, manageable steps, the therapist supports the
client’s momentum in overcoming lack of motivation.

Scene 15: Exploring Future Goals

Therapist: As we’re nearing the end of our session, I’d like to talk about the future. What
are some things you’re hopeful about, even if they seem distant?

Client: I want to get back to doing things I love. I want to feel like myself again.

Therapist: That’s a beautiful goal, [Client's Name]. What steps could we take together to
get you there?

Client: Maybe I could start by just doing one thing I enjoy each week.

Therapist: That’s a fantastic plan. Each small step is part of your bigger journey.

Voiceover (Therapist Approach):

The therapist emphasizes the importance of setting long-term goals, while ensuring they
remain grounded in achievable short-term steps. Hope and motivation are reignited by
focusing on meaningful, enjoyable activities that align with the client's values.

Scene 16: Reinforcing Self-Compassion

Therapist: We’ve talked a lot about self-compassion today. How do you feel about being
kinder to yourself?

Client: It’s still hard, but I can see how it could help. I’ll try to be more gentle with myself.

Therapist: That’s a great start. It’s a practice, and it takes time, but you’re already on the
right path.

Client: I’ll keep trying.

Voiceover (Therapist Approach):

Self-compassion is essential in treating depressive symptoms. The therapist continues to
reinforce its importance and encourages the client to be patient with themselves, which
helps reduce feelings of guilt or shame about their struggles.

Scene 17: Conclusion and Next Steps

Therapist: As we wrap up today’s session, how are you feeling about the work we’ve done
together?

Client: I feel a little lighter. I think I have a better understanding of what’s going on.

Therapist: I’m glad to hear that. Remember, change takes time, but you’ve already taken
some important steps. Next time, we can talk more about the progress you’ve made and
continue building on it.

Client: That sounds good. I’m looking forward to it.

Voiceover (Therapist Approach):

The therapist closes the session by reinforcing the progress made and emphasizing that
healing is a gradual process. Regular check-ins and continued support are key for
maintaining progress in managing depressive symptoms.

Scene 18: Final Reflection

Therapist: Before we end, is there anything else you want to share or ask?

Client: No, I think I’m okay for now. I feel more hopeful than I did when I first came in.

Therapist: I’m so glad to hear that. Remember, you don’t have to do this alone. We’ll keep
working together on this.

Client: Thank you. I really appreciate your support.

Voiceover (Therapist Approach):

In this final scene, the therapist reinforces the client’s hope and acknowledges their
willingness to continue working on their mental health. Building a supportive therapeutic
relationship is crucial in the long-term management of depression and lack of motivation.