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 45-minute session focusing on her struggles with body image and self-acceptance. Client stated, "I hate how I look." DBT was used to address emotional regulation and mindfulness practices. Client engaged actively and inquired about the techniques.
Assessment:
Client appears to be making use of DBT strategies to manage emotional regulation related to body image. Engagement level and inquiry about techniques suggest a positive response to interventions.
Plan:
Client's homework will consist of body neutrality exercises and maintaining a daily gratitude journal. The next session is scheduled for two weeks from today.
Client had a 45-minute session today discussing her struggles with body image and self-acceptance. She said, "I hate how I look." We used DBT to address her emotional regulation and introduce mindfulness practices. Client’s homework is to practice body neutrality exercises and keep a daily gratitude journal. She was engaged and asked questions about the techniques. Our next session is scheduled for two weeks from today.
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