Session — 2026-08-25
Arrival
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User did not complete formal arrival check; jumped straight to sharing therapeutic context document
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Context shared: ARFID_Therapeutic_Context.docx (childhood ARFID, masking, identity, social anxiety)
Material Shared
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Childhood ARFID: sensory-based, not fear-based; accompanied by diastema (gap teeth) and unusual hobbies
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Three independent lines of evidence convinced patient he was fundamentally different from other children
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ARFID resolved in teens; cosmetic dentistry fixed the gap in adulthood
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Core insight: “The cause is fixed; the operating system is not.”
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Current symptoms: hypervigilance, social anxiety, anticipatory/autonomic anxiety, projection of self-judgment onto others
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Thought pattern: “they’re going to think negatively of you” — used to flash with every interaction
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Therapeutic framing established: work is generative (building self for first time on safe ground), not restorative
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Mask = loyal protector to be thanked and retired, not false self to be destroyed
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Grief is specific: mourning a childhood of never being “just a kid” — always kid-who-managed, kid-who-forecasted, kid-who-hid
Patterns Noted
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Intellectualization as a protective strategy (highly articulate self-analysis)
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Self-abandonment / masking in relationships
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Hypervigilance as projection of internal self-judgment
Open Questions
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What is the somatic/emotional experience underneath the projection? (shame, fear, exposure, older wound?)
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How does the “mask debt” manifest in current relationships?
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What does the grief actually feel like in the body when given space?
Experiments
- (none assigned yet)
Next Session Carry-Forward
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Return to the question: what’s the feeling underneath the projection?
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Explore “mask debt” in existing relationships
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Somatic check-in: where does the hypervigilance live in the body?