DAP Note Example

Overwhelmed by Workload

Client feels overwhelmed with workload and struggles with anxiety and sleep issues.

Generated DAP Note:

Quill generated this note with AI from the summary that was provided.

Data:
During a 45-minute session at the clinic today, the client expressed feeling overwhelmed with workload and manifested frequent anxiety about meeting deadlines. The client reported having trouble sleeping and often wakes up worrying about tasks. She stated, "I feel like I’m constantly on edge and can’t relax." Intervention included discussion on self-care and the establishment of a bedtime routine goal to help improve sleep, along with introduction of basic mindfulness exercises.

Assessment:
Client demonstrates heightened anxiety levels impacting sleep and daily function. She responds positively to therapeutic interventions and shows motivation to integrate mindfulness and self-care techniques into her routine. The introduction of a bedtime routine and mindfulness exercises aligns with treatment goals aimed at anxiety management and improving sleep quality.

Plan:
Assigned homework for the client is to practice a five-minute mindfulness exercise each day. The next session is scheduled for next week at the clinic, where progress will be reviewed and further interventions considered.

Client Session Summary:

Here's the summary of this client session.

Client had a 45-minute session at the clinic today. She talked about feeling overwhelmed with her workload and said she is often anxious about meeting deadlines. Ummm, client mentioned that she has trouble sleeping and frequently wakes up at night worrying about tasks she needs to complete. She said, "I feel like I’m constantly on edge and can’t relax." We discussed the importance of self-care and established a goal for her to create a bedtime routine to help improve her sleep. We also introduced some basic mindfulness exercises. Client’s homework is to practice a five-minute mindfulness exercise each day. She seemed motivated and interested in trying out the new techniques. Our next session is scheduled for next week.

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