BIRP Note Example

Anxiety Around Upcoming Election

Client is experiencing heightened anxiety related to the upcoming election and political climate.

Generated BIRP Note:

Quill generated this note with AI from the summary that was provided. The therapist can then copy-and-paste the note into their current EHR platform.

Behavior:
Client presented tense at the office for a 50-minute session. They expressed high anxiety levels regarding the upcoming election, stating 'I can’t stop thinking about it, and it’s making me physically sick'. Client reported increased media consumption contributing to sleep disturbances and persistent worry.

Intervention:
The session took place at the therapist's office. Therapist discussed the impact of the political climate and the importance of setting boundaries with media consumption. Intervention strategies included limiting news and social media exposure and engaging in grounding activities such as exercise, meditation, or creative pursuits.

Response:
Client initially appeared unsure about reducing media consumption but agreed to implement the suggested strategies. They acknowledged the need for self-care and expressed willingness to try the interventions to alleviate anxiety.

Plan:
Client's homework is to reduce news and social media exposure and to engage in grounding activities. The therapist will follow up on the client's progress with these strategies in the next session.

Client Session Summary:

Here's the summary of this client session. Remember, Quill does not record the client session. A therapist would provide a summary (like the one below) after the session is over.

Today’s 50-minute session was at the office, and the client came in looking really tense. They jumped right in, saying how anxious they’ve been feeling about the upcoming election. They said quote 'I can’t stop thinking about it, and it’s making me physically sick' unquote. They talked about how every time they turn on the news or look at social media, it just ramps up their anxiety, but they can’t seem to stop checking because they feel like they need to stay informed. They said it’s even affecting their sleep—waking up in the middle of the night worrying about what’s going to happen.

We talked about how overwhelming the political climate can be, especially with all the uncertainty. I suggested setting some boundaries with media consumption, like limiting how much time they spend watching the news or scrolling through political content on social media. We also discussed focusing on things they can control, like getting involved with a local cause or just taking time for self-care. Their homework is to try cutting down on news and social media for the next few days and see if it helps reduce some of the anxiety. I also suggested they try to focus on activities that make them feel grounded, whether it’s exercise, meditation, or something creative. They seemed unsure at first, but by the end of the session, they said they’d try to limit their media intake and see how it goes. We’ll check back next session to see if it’s helping.

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