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:
Today's in-office session lasted 50 minutes. The client appeared worn out upon arrival and expressed feeling overwhelmed due to their pregnancy and the associated emotional fluctuations. They reported high levels of anxiety about the baby's health and the upcoming life changes. Additionally, the client is concerned about their teenage daughter who has started dating, stating, "I'm just so worried, I don't know if she's ready for this." Interventions included discussing the normalcy of feeling overwhelmed by significant life changes and strategies for managing what is within the client's control.
Assessment:
The client is experiencing heightened anxiety related to their pregnancy and their daughter's new dating life. They responded to the session with a sense of being more grounded after discussing potential coping strategies and plans for addressing their concerns.
Plan:
The client was assigned homework to have a conversation with their daughter about healthy relationships and to write down their major concerns regarding the pregnancy for future discussion. A follow-up session is scheduled for next week to continue addressing these issues and to review the homework.
Today’s session was 50 minutes, in-office. Client came in looking pretty worn out, and right away they started talking about how overwhelmed they’ve been. They’re pregnant and said quote 'Everything just feels so hard right now' unquote. They’ve been dealing with all the emotional ups and downs of pregnancy—feeling really anxious about the baby’s health and how things will change once the baby’s born. On top of that, their teenage daughter has just started dating, and it’s been adding to the stress. Client said quote 'I’m just so worried, I don’t know if she’s ready for this' unquote.
We talked about how it’s normal to feel overwhelmed with so many big life changes happening at once. I suggested focusing on what they can control, like creating a birth plan and having open conversations with their daughter about healthy relationships. We spent some time discussing boundaries they could set with their daughter, to keep her safe but also give her some room to grow. Their homework is to have that conversation with their daughter this week and to write down some of their biggest concerns about the pregnancy so we can tackle them one by one. They seemed a little more grounded by the end. We’ll meet again next week.
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