BIRP Note Example

Loss of a Loved One to Suicide

Client is grieving the loss of a loved one to suicide and struggling to process the trauma.

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 grief and trauma following the suicide of a close friend. They stated, "I feel guilty for not seeing the signs," expressing a deep sense of responsibility and questioning what they could have done differently. Client also reported feeling angry at their friend for making such a permanent decision and leaving them with unanswered questions. Their emotions included guilt, anger, and confusion, which are common in grief after suicide.

Intervention:
The therapist worked on helping the client separate feelings of guilt from the reality that they could not have prevented the suicide. The therapist reassured the client that such feelings are common and encouraged processing the pain at their own pace. The therapist also introduced the idea of writing a letter to their friend to express unresolved thoughts.

Response:
Client appeared open to the idea of writing a letter but expressed concern about the emotional toll it might take. They agreed to reflect on their emotions and decide whether writing the letter would be helpful. Client engaged actively in the discussion and demonstrated insight into their feelings of guilt and anger.

Plan:
Client will reflect on their emotions and consider whether to write a letter to their friend. The therapist will continue supporting the client through the grieving process in future sessions.

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 focused on the grief and trauma the client is experiencing after the suicide of a close friend. They said, "I feel guilty for not seeing the signs," expressing their deep sense of responsibility and questioning what they could have done differently. We discussed how grief following suicide can be particularly complicated, with feelings of guilt, anger, and confusion often surfacing. Client explained how they’re also feeling angry at the person for making such a permanent decision and leaving them with so many unanswered questions.

We worked on separating the client’s own feelings of guilt from the reality that they could not have prevented the suicide. I reassured them that many of these feelings are common among those left behind, and it’s important to process the pain at their own pace. We also discussed the idea of writing a letter to their friend, expressing everything they wish they could have said. Client seemed open to this idea but expressed concern about the emotional toll it might take. They agreed to reflect on their emotions and decide if writing a letter is something they want to do. We’ll continue to support them through the grieving process in our next session.

Other Note Formats:

Looking for a different note format? Quill can generate AI therapy notes for those too!

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.

Quill can write your BIRP notes!

Using AI, Quill will generate a BIRP note. All you need to provide is a brief summary of your session.

Try generating BIRP notes with Quill.

Try it for free. No credit card required.