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.
Data:
Client had a 40-minute phone session today. Client reported feeling depressed and unmotivated, stating difficulty with getting out of bed and a loss of interest in previously enjoyed activities. Client felt disconnected from friends and described her situation as "It’s like I’m stuck in a dark hole and can’t find a way out." Discussed symptoms of depression and emphasized the importance of self-compassion.
Assessment:
Client shows signs of major depressive disorder, demonstrating low motivation, anhedonia, and social withdrawal. Client's statement suggests feelings of despair, supporting this assessment. Despite expressed hesitancy, client was open to trying suggested interventions.
Plan:
The therapist assigned homework for the client to journal daily about her feelings and any changes she observes. Set a tangible, achievable goal for the client to take a short walk each day. Scheduled the next session for the following week.
Client had a 40-minute phone session today. She talked about feeling depressed and unmotivated, saying that even getting out of bed is a struggle some days. Ummm, she mentioned losing interest in activities she used to enjoy and feeling disconnected from her friends. She said, "It’s like I’m stuck in a dark hole and can’t find a way out." We discussed the symptoms of depression and the importance of self-compassion. We set a small goal for her to take a short walk each day. Her homework is to journal about her feelings and any changes she notices. Client sounded a bit hesitant but agreed to try. Our next session is scheduled for next week.
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