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 their ongoing struggle with substance abuse and its effect on personal relationships. Client expressed a desire to maintain sobriety, stating "I need to stay clean."
Intervention:
The therapist conducted a 60-minute session utilizing motivational interviewing and relapse prevention strategies.
Response:
Client appeared hopeful and showed a commitment to the recovery process.
Plan:
Client was assigned homework to attend a support group meeting and to develop a relapse prevention plan. The next session is scheduled for the following week.
Today’s 60-minute session with the client focused on his struggle with substance abuse. He mentioned the difficulties of staying sober and the impact on his relationships. He said, "I need to stay clean." We used motivational interviewing and relapse prevention strategies. Client’s homework is to attend a support group meeting and develop a relapse prevention plan. He seemed hopeful and committed to recovery. We’ll meet again next week.
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