BIRP Note Example

Toxic Friendship

Client is working through the emotional aftermath of ending a toxic friendship.

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 the emotional aftermath of ending a toxic friendship. They stated, "It feels like I’ve lost a part of myself," and described feelings of guilt, anger, and sadness since the relationship ended. Client shared that the friend had been manipulative and emotionally draining, and expressed difficulty in severing ties.

Intervention:
The 60-minute session took place in the therapist's office. Therapist explored how toxic relationships can erode self-worth and create confusion about boundaries. Therapist discussed the importance of setting clear boundaries in relationships and recognizing signs of toxicity. Therapist suggested focusing on healing by surrounding themselves with supportive people and practicing self-compassion.

Response:
Client appeared relieved to receive validation for their decision to end the friendship but expressed fear of repeating the same pattern in future relationships.

Plan:
Client was assigned homework to identify one positive relationship in their life and strengthen it by spending more time together. The therapist will follow up in the next session to check on their progress and continue exploring strategies for maintaining healthy relationships.

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 session at my office, the client talked about the emotional aftermath of ending a toxic friendship. They said, "It feels like I’ve lost a part of myself," explaining the complex feelings of guilt, anger, and sadness that have surfaced since the relationship ended. The client shared how this friend had been manipulative and emotionally draining, but also how difficult it has been to sever ties. We explored how toxic relationships can erode self-worth and lead to confusion about boundaries, making it hard to know when it’s time to let go.

We discussed the importance of setting clear boundaries in relationships and how to recognize signs of toxicity. I suggested that they focus on healing by surrounding themselves with supportive people and practicing self-compassion. The client seemed relieved to have validation for their decision but expressed fear of repeating the same pattern with other relationships. Their homework is to identify one positive relationship in their life and strengthen it by spending more time together. We’ll follow up next session to check in on their progress.

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More About BIRP Notes:

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