{"status":"success","data":[{"id":19,"patient":"Steve otieno","date":"2025-11-15","subjective":"\" I am doing good amd maikg friends. I practised the habits that we talked the other time amd it is helping.  I have developed an habit of reading a book in the evening amd doing exercise  immediately  I wake up and I think it is helping with my disorganised thoughts\".","objective":"The client was jovial during he session, lanctual and well kempt. \nHe maintained  eye contact throughout , expressed himself with clarity  and with moderate tonation. ","assessment":"The client is improving and becoming more self awareness of his codition. He shared that sometimes he jas disorganised thought but he is practicing the coping skills he learned in the previous session and it helping. He also presented  to the therapist that it is always hard for him to maintain a relationship and that he is always motivated to have one but looses interest on the way. This shows that he is also beginning to open up about all his underlying issues which will make it easier for the therapist to help him.","plan":"To continue with cognitive behavioural therapy- the counselor should help the client challenge his distorted thinking patters . Because how we think influences how we feel and act."},{"id":18,"patient":"Moses Njoroge Wambui","date":"2025-11-15","subjective":"\"I am doing very well. I can't complain. Everything is working out well and am also happy because my aunt told me that she will help me get a job. I haven't  been ready like this before , I will do everything that needs to be done for me to maintain my sobriety\".","objective":"The client was panctual for the session, Well kempt. He expressed himself well with moderate tonation . He maintained eye contact throught the session. ","assessment":"The client is clear on his goals. He is expressing himself well and ready to change his behaviours. He shared that he has surrendered and very powerless over his drug of choice and not ready to go back. He also said he believes by the time he completes his program he will he ready to forgive everybody also asked for forgiveness to his grandmother. He wa emotionally stable during the session compared to before and he shared that he will need to work hard inorder to take care of his children ","plan":"Help the client continue unlearning his bad behaviours and replacing them with new ones.\nTo continue with motivational therapy showing the client that he has the capacity to achieve everything that he wants.  \nTo have a family therapy with his grandmother. "},{"id":17,"patient":"Leon Kevin Mwiti ","date":"2025-11-15","subjective":"\"I am doing well and also thinking alot.  I have had thoughts about myself amd finally came to a conclusion  that I have talked to my dad inappropriately  before and I need to make amends to him and also understands that how he behaves sometimes is part of his personality and since he is old I need to understand  him and not try to prove argue with him. I am still writting books and it helping me focus on myself more\".","objective":"Client was panctul for the session, alert and oriented . Speech was coherent and organized,  Client maintained good eye contact and was well kempt.","assessment":"The client was expressing himself with clarity. He shared that he needs to make amends to his father but doesn't  believe his father can change. He shared that he would like his wife to come for family therapy since she is hardworking and understanding so that she can understand  the family and not get tired with the client. The client has realised that he has harmed people  and that he needs to make amends which shows  willingness to recover. He is on the working through phase of recovery  he has began to realised his mistakes and where he went wrong and he is r3ady to make amends. He also feels him and the wife they need to work together inorder to take care of their children. ","plan":"To continue  being assisted to understand his thinking patterns and necessarily challenge his negative thoughts.\nDo a family therapy- amends making. "},{"id":16,"patient":"Leon Kevin Mwiti ","date":"2025-10-29","subjective":"\"I am trying to be okay but I have alot of thoughts about my immediate family. I was brought here because of lack of sleep. I agree I have a problem but it all starts with my family especially my dad not listening to me and always wanting to treat me as a child\".","objective":"Client was panctul for the session, alert and oriented . Speech was coherent and organized,  Client maintained good eye contact and was well kempt.","assessment":"Client appears to demonstrate insight into family relationships but continues to externalize blame for current stressors. He feels like isteqd of the father treated him as a young boy he would give him an opportunity to grow.He has resentment towards the parents and himself he doesn't  feel as if he can succeed by himself but only talk about how the father should fund the kind of lifestyle he want.\n","plan":"Psychodynamic-It helps the client understand why they blame their parents uncovering deeper unresolved emotions, unmet needs, and unconscious conf\nCognitive Behavioral  therapy-to support the client's in emotional regulation and practical coping skills.\nNarrative therapy-It empowers the client to rewrite their story moving from victimhood to agency.\nHelps  them detach from the \u201cblame narrative\u201d and build a new self-identity."},{"id":15,"patient":"Steve otieno","date":"2025-10-25","subjective":"\"I am doing well and am taking  recovery seriously. Of late i have been consistent and feeling  more stable. The family therapy that we have few days ago made me even feel the importance of putting in more effort.\"","objective":"Client presented well-kempt, maintained good eye contact, and arrived punctually. His mood appeared stable with congruent affect. He was cooperative but initially reserved, offering limited information until prompted. ","assessment":"The client is demonstrating steady progress in recovery and therapy engagement. His guardedness may be associated with unresolved guilt or fear of judgment. Insight is improving as he begins to acknowledge personal challenges such as task completion and consistency. The difficulty with follow-through could indicate mild executive functioning challenges, avoidance patterns, or self-esteem issues linked to past experiences. Overall, motivation and self-awareness are increasing.\n","plan":"Motivational Interviewing : To strengthen intrinsic motivation for recovery and self-improvement.\nCognitive Behavioral Therapy : To identify and challenge negative thought patterns contributing to avoidance and poor follow-through.\nBehavioral Activation: To structure daily activities and reinforce task completion behaviors."},{"id":14,"patient":"Peter Kibet Bowen","date":"2025-10-18","subjective":"\" I am doing well and progressing well  with my recovery. Taking IT classes has really helped me to keep my mind occupied. Before I was feeling cravings but since I started gym sessions and my studies my mind hadms been occupied and I dont tend to think about my drug use. I have seen alot of importance my parent's  bringing me here at first I felt as a punishment but currently  am  seeing it good that they brought me here\"","objective":"The client presented himself early for sessions, maintained eye contact, was well kempt and expressed himself well with moderate  tonation.","assessment":"The client is doing well and knows his problem. He has realised that being in treatment facility it helped and also taking it very positively. He presented his moral inventory  to the counselor and it showed that he is well aware of his bad morals of the past. This shows that he is aware of his problem amd ready to change. The client is open to new ideas and had very good listening skills. He should continue with cognitive behavioural therapy and also family therapy which will help him make amends to his siblings. ","plan":"To continue with Cognitive behavioural therapy. \nFamily therapy- to help him make amends amends to his sister who was once his best friend before he became an addict."},{"id":13,"patient":"Stephen Mburu Kimani","date":"2025-10-18","subjective":"\"I am doing well, I feel have already recovered and that I should go home and continue achieving my dreams. I have plans with my life and I feel staying here am delaying my success. There are things I want to achieve and levels  of success that I want to reach and I dont have to go to school to achieve the success I want.  ","objective":"The clients presented himself early for the session, maintained good eye contact,  was well kempt and expressed himself  well with moderate tonation  and  with open arms and legs. ","assessment":"The client is on the contemplation stage of recovery whereby he knows he had a problem of smoking weed bud still is ambivalent to change. The client share that he should not be forced to do something he doesn't  want that is for example going back to school. The clients needs more of cognitive behavioural therapy  and motivational therapy. He is fixated on his way of doing things  and feels it the best way and the only way. ","plan":"Cognitive Behavioral Therapy (CBT) to help the client on identifying and changing the negative thought patterns and behaviors that contribute to substance use."},{"id":12,"patient":"Pijah Kariuki","date":"2025-10-18","subjective":"\"I am doing well and  improving each day. I have come to learn that I need to take care of myself and finally achieve my own independence. I have made friends here whom I have been so close with off late and this has helped me to appreciate that I can make friends and engage freely in conversations\"","objective":"\nClient presented on time for session, appropriately dressed and groomed.\nSpeech was clear and coherent; normal rate and volume.\nNo signs of acute distress noted.\nClient engaged in session, maintained eye contact, and followed conversation without difficulty.","assessment":"The client has made tremendous  improvement. He appreciated that he didn't  know how to manage anger but has learned alot to a point even when he get angry now adays he doesn't  let out his anger in a negative  way. He shared that he was taking muguka so as to belong in a particular group of people at home . This how's that the client has finally agreed that he had a problem. In communication, muguka addiction and also anger management. He shared with the counselor multiple anger management strategies. He also shared that He would appreciate going back to school and study Information technology so as to achieve something and gain some independence in life and also as a way of avoiding idleness which is a relapse trigger to him.\nThe client is in the maintainance stage of recovery whereby he should understand that recovery doesn't end during discharge and that it a continuous process. And he needs to continue fighting relapse even after discharge. ","plan":"Continue with cognitive behaviour therapy."},{"id":11,"patient":"Steve otieno","date":"2025-10-18","subjective":"\"I am doing well here and also making new friends. I have come also to learn different people behaviours and characters and how to socialise with them. I have also been playing football and I really like it. I came to realise that  I was taking bhang for no reason and that I could live a healthy life without drugs. I was taking bhang before inorder to eat well, sleep well and also relax but have realised am doing all that perfectly well without the influence of any drugs\" ","objective":"The client appeared  calm amd relaxed, maintained  good eye contact. Was punctual and well kempt. His tonation was moderate and was expressing himself freely. ","assessment":"The client had understood that he had a problem. He shared that his main problem is marijuana smoking, difficulty in concentrating and family conflicts.  He had realised that he can live a healthy life without smoking. \nHe was diagnosed with mild ADHD bythe psychiatrist. He shared that he has good relationship with some of his family member but not all. He is very aware that he has to make amends with some family members like the sister who has been taking care of him. This client is open minded and ready to learn which makes  it easier for him to get help since he is not fixated on his way of thinking but rather very open to new ideas. \nHe is ready to work toward achieving sobriety and solving his family issues which he explains it will help him even concentrate more in his studies.","plan":"CBT- Help the client rocognize his negative thinking patters  and focus. Because thoughts, feelings and behaviours  are interconnected. \n\nPsychodynamic- to help the client  focus on how unconscious conflicts, early childhood experiences, and family relationships influence a his current behavior."},{"id":10,"patient":"Natalie Musinzi","date":"2025-10-17","subjective":"\"I am doing well physically  and also mentally. I have been journaling as you encouraged me and currently i don't complain so much in my journal like before. I have made  more friends here and am learning a lot. But one ting was worried about my relationship with my mother because last week i tried to talk to her and se didn't sound happy to hear from me.\"","objective":"The client was punctual and had good tonation. She maintained good eye contact and an upright posture and was well groomed. ","assessment":"The client is very aware of her emotions and also on the areas that she needs to improve. she shared that she feels her home environment is a trigger to her recovery. She shared that she would like to go to school and study part time because she would like to work while studying so that she can be able to be responsible and pay her bills without without stressing the mother and also feels if she not around the mother's compound they be good friends.\nShe was encouraged to forgive the mother and that the counsellor with talk to the mother.","plan":"To continue with CBT and family therapy."},{"id":9,"patient":"Stephen Ndichu","date":"2025-10-17","subjective":"\" I am not doing well, i have been having a lot of thoughts about what am going to do when i get out. I had earlier told you that i would like continue with my boda-boda riding business but i don't think it a good idea  because it my biggest trigger to bhang addiction. i would like to stay at home join boxing as i look for opportunities. ","objective":"The client was punctual for the session,\nWell kempt \nHis speech was coherent  and he was stable emotional emotionally. ","assessment":"The client is showing tremendous improvement. He wanted to go back to his boda boda business despite the nature of the job, but off late he acknowledged that the business is a trigger to him. Since idleness is also a trigger he need to be occupied and was advised to join boxing with the Myndspa  disciplinarian as the mother helps him find a job. The client was agreeable during the session. He is ready to maintain sobriety and was helped on tips to avoid relapse.\nHe later was appreciative during the session and shared that he will do everything not to relapse since the institution has helped so much. The client is ready to take precautions and continue building his relationship with the mother.","plan":"To continue with CBT and Motivational therapy."},{"id":8,"patient":"Moses Njoroge Wambui","date":"2025-10-17","subjective":"\"I am doing well and feeling soo good after the family therapy. I have realised that my aunt loves more than even what i thought.  I am feeling relieved after realising that  she is always on my side and assured me that she will always stand with me and she my mother now. I have some resentments with my aunt and other few family members who were part of the people who were mocking me and making me feel worthless in the family an feel unloved.","objective":"Client was punctual for the session, his tonation was moderate, maintained eye contact and was well kempt.","assessment":"The client was expressing himself well and did a moral inventory with the counsellor, He identified his bad and good morals of the past. He also shared the good habits that he need to start practising. he acknowledge that he was not a good father to his  children and didn't provide for them or even spend time with them. He would rather spend his money on alcohol. He also shared that he wasn't aware of what was happening in the family this is because he spent more time with his drinking buddies and didn't pick family members phone calls.\nThe client is the action stage of recovery whereby he acknowledges that he has a problem which is drinking alcohol and he is ready to change ","plan":"Continue with CBT, Family therapy and Motivational therapy ."},{"id":7,"patient":"Leon Kevin Mwiti ","date":"2025-10-10","subjective":"\"I am not suppose to be here right now. Because I am here to help myndspa grow and I can't help while am inpatient. I need to be out inorder to help this place make more money. My father took me to a doctor and I was told I have bipolar disorder but I am not sick and I don't have any mental disorder. My father feels challenged by me because am very smart and I broke the record he had set for me. I am an over achiever and the only thing he is suppose to do is to publish my book and help me make money  and not saying that I am mentally unstable\"","objective":"The client was panctual for the sessions, he was unkempt and incoherent.  His intonation  was irregular. He also presented with disorganised and tangential speech.","assessment":"The client is still in the pre-contemplation stage of recovery whereby he doesn't  see any problem with him. He shared that what he wants from his family is his inheritance and money to publish his books. The client speech was disorganised. He would give different  stories at the same time. ","plan":"Psychodynamic therapy  to help the client uncover hidden feelings desires and conflicts influencing his current behaviour. \nMotivational  therapy - to help the client see their personal goals and their current behaviour. \nFamily therapy.  \n "},{"id":6,"patient":"Stephen Ndichu","date":"2025-10-10","subjective":"\"I am doing good, and working my programme. I have been thinking about what I need to do when I go home. I have anxiety because I do not know what is waiting for me outside there. I would like you to talk to my mum and tell her that I will not repeat my mistakes again and please I would appreciate if she supports me when I get outside and not just release me to the world\"","objective":"The client was punctual for the session,\nWell kempt \nHis speech was coherent  and he was stable emotionally. ","assessment":"The client is showing improvements and seems to realise that the real exam is outside after discharge. A debriefing  session was done with his mother and agreed on the exit plan. The client is focused to rebuild what he has lost. He gave example of the house that he set on fire by himself as a result of smoking weed. He shared that he would want to build the house again using his own money with the savings that he will be saving through his mother. He requested  the counsellor and disciplinarian not to loose hope on him and he promised to always call the the counselor when he is faced with challenges after discharge. ","plan":"To continue with the CBT therapy and motivational therapy. "},{"id":5,"patient":"Natalie Musinzi","date":"2025-10-08","subjective":"\"I have been having thoughts about my life especially today I sat down for two hours thinking about my life something that has never happened before. I am still doing my assignment find my objective. My plan and my purpose.i have been thinking of the course that I can enroll so that I can be  busy . I also feel it will be important for me to start being responsible\".","objective":"The client was panctual and had good tonation. She maintained good eye contact and an upright posture and was well groomed. ","assessment":"The patient is in the working through phase. She feels that she needs to be responsible take care of her needs not letting the mother to entirely take care of her and her daughter.she knows what her triggers are and she is ready to develop new habits and fight her triggers. All she needs is support as she tries to find her new identity.","plan":"CBT-The help the client understand  her thoughts feelings and behaviours are connected.\nFamily thetapy-To help the client rebuild the relationship with her family members"},{"id":4,"patient":"Stephen Mburu Kimani","date":"2025-10-08","subjective":"The day's that have been here i like this place and people around and am making friends. Though sometimes I feel am okay . I was brought here for life coaching and understand more about life . At first I didn't  see anything wrong with me before but as I continued spending more days here am understanding  addiction.i thought the life of living using drugs was a life that shows someone is wealthy and always thought that even when I finnaly become succesful I will use drugs. ","objective":"\nClient presented on time for session, appropriately dressed and groomed.\nSpeech was clear and coherent; normal rate and volume.\n\nMood appeared mildly anxious; affect was congruent with stated mood.\nNo signs of acute distress noted.\nClient engaged in session, maintained eye contact, and followed conversation without difficulty.","assessment":"The client is in the contemplation stage of recovery, whereby he is aware that he has a problem which is addiction but has not yet commented to taking action. The client presents himseelf as a teachable  person and also a good listener so with the right support and motivation he will finnaly accept that education is important and also change his perspective on thinking that use of drugs is a symbol of wealth.","plan":"Motivational therapy- To help the client understand  that he can achieve his goals and also enjoy life without the use of drugs. \nBehavioural therapy- Help the client understand that behaviours can be learned and unlearned . Therefore he can replace his unhelpful  behaviours with healthy ones."},{"id":3,"patient":"Redempta Wattanga","date":"2025-10-06","subjective":"I am alright, I woke up well.\nI am in agreement that my addiction challenge have caused me a lot of set backs and after self reflection and the therapies and lessons I have made up my mind to reorganise myself and to work on my sobriety goals.\nI don't have any complaints. I have learnt also to ignore trouble shooters and unnecessary dramas..\nI am looking forward to start living with my son, I have missed him so much.","objective":"Punctual \nGood eye contact \nGood hygiene \nGood tonation .\nSitting upright.","assessment":"The client has finally come to realise that she had problem with both anger and alcohol.\nFrom her body language expression it is clear that she is beginning to come to realisation that she needs help and is beginning to let go of resentment that she has been holding..","plan":"To continue with both psychodynamic and cbt therapy."},{"id":2,"patient":"Daisy Precious Mumanyi","date":"2025-10-05","subjective":"I am progressing on well and I don't have any problem. I am only looking forward to regaining myself worth and be able to get a job or put up business so that I can financial independence and be able to take charge of my financial needs.\nI don't regret being here for a longer period I have come to realise that I really needed more time to do self reflection. I honestly don't like the way my dad avoids discussing my exit plan, I am looking forward to the day that he will take his time to listen to my exit plans Idea and discuss the same exhaustingly.","objective":"Punctual.\nGood eye contact.\nGood tonation.\nGood hygiene.\nSitting upright.\nTalking with clarity.","assessment":"The client have come to self realisation that she needed help and that her past pattern of life have delayed her life progress. She needs more of family therapy to address the many question marks that is bothering her, especially to address the strained relationship between her and her step mother. She is also still in doubt of her dad's commitment to support her after her discharge.","plan":"To continue her with psychodynamic therapy."},{"id":1,"patient":"Moses Njoroge Wambui","date":"2025-10-03","subjective":"\"I am doing well, and yesterday I slept well compared to the other days. I am happy to be sober and I feel good being sober. The many thoughts that I was having I feel relaxed now and this place is a good place I don't  see anything bad with being here. That is the reason I didn't  bring issues upon admission because I deeply knew there was something wrong with me\"","objective":"Client  arrived on time and appeared appropriately dressed. Speech was coherent but slowed. Eye contact was maintained. His sitting posture was upright with open arms and legs . He appeared to have added some weight and was jovial and in high spirits. \n","assessment":"Compared to the last therapy session today the client was not blaming others for his behaviours. He was agreeable and would express himself well . He also showed some concern to talk to the family members  and know how they were doing. He is in the action stage of recovery where by he is working through the treatment programme.  He was calm and could listen rather than being dismissive like before.","plan":"CBT- to help the client understand that thoughts feelings and behaviours  are connected and also help him identify his negative thoughts and challenge the thoughts  and start thinking positively. \n12-steps approach - To help the client identify his unacceptable behaviours change them and gain insights on his possible relapse triggers. \nFamily therapy- To help the client's  make amends to the family and vice versa."}]}