BIRP Note Example

Introversion vs. Extroversion

Client is struggling with feeling pressured to be more outgoing and social in a world that values extroversion.

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 discussed feeling pressured to act more outgoing despite identifying as introverted. They stated, "I feel like I’m constantly supposed to be socializing, and it drains me." Client described feeling exhausted after pushing themselves out of their comfort zone and expressed frustration with not fitting societal expectations for extroversion, which they perceive as celebrated in work, social media, and family dynamics.

Intervention:
50-minute telehealth session. Therapist explored societal preference for extroverted traits and reframed introversion as a natural personality trait with strengths, such as being reflective and thoughtful. Therapist encouraged client to acknowledge their need for downtime and discussed strategies for setting boundaries with family and coworkers.

Response:
Client appeared somewhat relieved by the perspective that introversion is not a flaw but continued to express difficulty managing social expectations. Client agreed to try reframing social obligations and finding a balance that aligns with their needs.

Plan:
Client will work on acknowledging their need for downtime and setting boundaries when overwhelmed by social commitments. Therapist and client will check in during the next session to evaluate progress and adjust strategies as needed. Continuation of current treatment plan with focus on managing social expectations and honoring introverted traits.

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.

In today’s 50-minute telehealth session, the client discussed how they’ve been feeling pressured to act more outgoing, even though they identify as introverted. They said, "I feel like I’m constantly supposed to be socializing, and it drains me," explaining how they’ve tried to push themselves out of their comfort zone but it often leaves them feeling exhausted. The client expressed frustration with not fitting the social mold that seems to be celebrated everywhere—at work, in social media, and even in family dynamics.

We explored how society tends to favor extroverted traits like being outspoken and constantly engaged, and how that can make introverts feel like they’re falling short. I reassured them that being introverted is not a flaw, but rather a natural personality trait that comes with its own strengths, like being more reflective and thoughtful. The client seemed a bit relieved by this perspective but still struggled with how to deal with social expectations.

I suggested they start by acknowledging and honoring their need for downtime, making space for quiet activities that recharge them. We also discussed how they might set gentle boundaries with family or coworkers when they’re feeling overwhelmed by too many social commitments. Client agreed to try reframing their social obligations and focus on finding a balance that feels right. We’ll check in next session to see how they’re feeling after taking these steps.

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