BIRP Note Example: Stress of Homeownership

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 stress related to homeownership, stating, "There’s always something that needs fixing, and it’s never-ending." Client expressed frustration with constant maintenance and reported feeling overwhelmed by the ongoing to-do list. Client shared fears about the house falling into disrepair if tasks are not completed promptly.

Intervention:
The 60-minute telehealth session focused on managing stress related to homeownership. The therapist explored strategies such as breaking tasks into smaller steps, delegating responsibilities, and prioritizing pressing issues. The therapist suggested creating a list of immediate tasks with deadlines to reduce feelings of paralysis.

Response:
Client appeared receptive to the suggested strategies and agreed to identify which tasks to address first. Client seemed willing to implement changes and showed motivation to create a schedule for managing responsibilities.

Plan:
Client was assigned homework to create a schedule for the upcoming week and begin implementing small changes. The next session will include a check-in on how the client is managing these tasks and adjustments to the plan as needed.

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 60-minute telehealth session, the client talked about how owning a home has created a lot of stress in their life. They said, "There’s always something that needs fixing, and it’s never-ending," expressing frustration with the constant maintenance. We discussed ways to manage the stress, including breaking down tasks into smaller steps and delegating when possible. Client mentioned feeling overwhelmed with the constant to-do list and feared that if they didn’t stay on top of things, the house would fall into disrepair.

We talked about the importance of prioritizing the most pressing issues and creating a realistic plan to tackle homeownership responsibilities one task at a time. I suggested that they start by making a list of immediate tasks and setting deadlines to prevent feeling paralyzed by the long list of things to do. Client seemed willing to try this approach and agreed to identify which tasks to tackle first. Their homework is to create a schedule for the upcoming week and begin implementing small changes. We’ll check in next session to see how they’re managing.

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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.