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 attended a 55-minute session at the clinic today. Client discussed struggles with binge eating and body image, stating, "I can’t control myself around food." Therapist and client used dialectical behavior therapy (DBT) techniques, focusing on mindfulness and emotional regulation.
Assessment:
Client was engaged during the session and utilized DBT techniques effectively. There's a noticeable effort in understanding the relationship with food and working towards emotional regulation. Progress noted in her engagement and ability to articulate issues.
Plan:
Client’s homework is to keep a food and mood diary to identify triggers. The next session is scheduled for two weeks from today at the clinic.
Client attended a 55-minute session at the clinic today. She talked about her struggles with binge eating and body image. She said, "I can’t control myself around food." We explored her relationship with food using dialectical behavior therapy (DBT) techniques, focusing on mindfulness and emotional regulation. Client’s homework is to keep a food and mood diary to identify triggers. She was engaged and asked questions about the techniques. Our next session is in two weeks.
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