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.
Progress Note Example
Overwhelmed by Workload
Client feels overwhelmed with workload and struggles with anxiety and sleep issues.
Progress Notes:
Generated by Quill, of course.
BIRP Note
DAP Note
PIRP Note
SIMPLE Note
SOAP Note
(You can also read more about the different therapy note formats.)
Client Session Summary:
The above notes were generated based on this summary of a client session. Quill does not record the client session. A therapist would provide a summary (like this one) after the session is over.
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