BIRP Note Example

Anxiety Diagnosis

Client has been diagnosed with generalized anxiety disorder and is learning coping techniques.

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 attended a scheduled 45-minute session at the clinic. She reported a recent diagnosis of generalized anxiety disorder and expressed feelings of uncertainty about the future. Client described her symptoms, stating she often worries about potential events and feels persistently on edge. Client stated, "I just can’t seem to stop my mind from racing all the time."

Intervention:
Therapist discussed understanding anxiety and identifying triggers with the client. Cognitive-behavioral techniques were introduced to challenge negative thoughts.

Response:
Client was engaged during the session and actively asked questions about the cognitive-behavioral techniques. She expressed a willingness to work on the strategies discussed.

Plan:
Client was assigned homework to keep a thought diary to note situations that trigger her anxiety. The next session is scheduled for two weeks from today, with a continuation of the treatment plan.

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.

Client attended a 45-minute session today at the clinic. She discussed her recent diagnosis of generalized anxiety disorder and her feelings of uncertainty about the future. Ummm, she said she often worries about things that might happen and feels like she’s always on edge. She said, "I just can’t seem to stop my mind from racing all the time." We talked about understanding anxiety and identifying triggers. We introduced cognitive-behavioral techniques to challenge negative thoughts. Client’s homework is to keep a thought diary and note situations that trigger her anxiety. She was engaged and asked questions about the techniques. Our next session is in two weeks.

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More About BIRP Notes:

From even more examples, to an overview of the format in general, to templates, to a cheat sheet, here's everything you need to know about BIRP notes.

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