BIRP Note Example: Fear of Public Speaking

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 expressed a fear of public speaking and is facing an upcoming work presentation which is causing extreme anxiety. Client reported physical symptoms such as sweating and shaking when contemplating public speaking. Client stated, "The thought of standing in front of a crowd makes me panic."

Intervention:
The therapist discussed exposure therapy and gradual desensitization techniques during the 50-minute session.

Response:
Client appeared nervous but showed a willingness to engage with the assigned homework, which includes practicing speaking in front of a mirror and to a small, supportive audience.

Plan:
The therapist plans to review the client's progress with the exposure exercises in the next session, scheduled for two weeks from today. Continuation of the treatment plan with a focus on exposure therapy and gradual desensitization will be the priority.

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.

During today’s 50-minute session, client discussed his fear of public speaking. He mentioned that he has an upcoming presentation at work and feels extremely anxious about it. Ummm, client described physical symptoms like sweating and shaking when he thinks about speaking in front of others. He said, "The thought of standing in front of a crowd makes me panic." We talked about exposure therapy and gradual desensitization. Client’s homework is to practice speaking in front of a mirror and then to a small, supportive audience. He seemed nervous but willing to try these exercises. We’ll check in on his progress in our next session 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.