BIRP Note Example: Rejection in Social Situations

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 shared feelings of isolation and lower self-esteem stemming from rejection in social situations. They stated, "I take it so personally when people don’t respond to me or include me," and explained how minor social snubs feel devastating. Client expressed difficulty moving past these feelings and reported ruminating over perceived slights long after interactions have ended.

Intervention:
The 45-minute session took place in-office. Therapist discussed how rejection sensitivity can stem from past experiences and skew perceptions of social interactions. Therapist introduced strategies such as practicing self-compassion and challenging negative thoughts by questioning assumptions about others' intentions.

Response:
Client appeared engaged in the discussion and expressed willingness to try the suggested strategies but voiced concerns about their effectiveness.

Plan:
Client was assigned homework to notice feelings of rejection during the week and practice reframing them. Progress on this will be discussed in the next session. The treatment plan will continue to focus on addressing rejection sensitivity and building self-esteem.

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 45-minute in-office session, the client shared how rejection in social situations has led to feelings of isolation and lower self-esteem. They said, "I take it so personally when people don’t respond to me or include me," explaining how minor social snubs feel devastating. We discussed how rejection sensitivity can stem from past experiences and how it can skew their perception of social interactions. The client expressed difficulty in moving past these feelings, often ruminating over perceived slights long after the interaction has ended.

We talked about the importance of not internalizing rejection and reframing it as a natural part of human interaction. I suggested they start practicing self-compassion and challenge negative thoughts by asking themselves if they are making assumptions about the other person’s intentions. Client seemed willing to try these strategies but worried they wouldn’t work. Their homework is to notice any feelings of rejection during the week and practice reframing them. We’ll discuss their progress next session.

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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.