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 50-minute session focused on her self-harm behaviors and feelings of hopelessness. Client stated, "I don’t know how else to cope with my emotions." DBT was applied to enhance distress tolerance and emotional regulation skills.
Assessment:
Client seems open to trying new techniques and expresses hope for improvement. Progress to be further assessed in subsequent sessions.
Plan:
Client's homework is to create a crisis plan and identify alternative coping strategies. The next session is scheduled for two weeks from today to monitor client's progress and discuss the effectiveness of interventions.
During today’s 50-minute session, client discussed her self-harm behaviors and feelings of hopelessness. She said, "I don’t know how else to cope with my emotions." We used DBT to focus on distress tolerance and emotional regulation skills. Client’s homework is to create a crisis plan and identify alternative coping strategies. She seemed open to trying these new techniques and hopeful for improvement. We’ll check in on her progress in our next session in two weeks.
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