PIRP Note Example

Anger and Frustration in Relationships

Client is struggling with managing anger in their romantic relationship.

Generated PIRP Note:

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.

Problem:
Client discussed ongoing frustrations with their partner, stating, "I get so angry over small things, and it’s like I can’t control it." Client explained how their anger escalates quickly in certain situations, often triggered by feeling unheard or dismissed by their partner. Client expressed frustration over their inability to communicate feelings effectively without resorting to anger.

Intervention:
The session lasted 60 minutes. The therapist explored the underlying triggers of the client’s anger and discussed the importance of finding healthier ways to express emotions. The therapist introduced the timeout technique for managing anger and suggested practicing reflective listening with their partner.

Response:
Client appeared somewhat relieved to have a strategy but expressed concern about how their partner might react. Client agreed to try the timeout approach when feeling triggered and to check in on their progress during the next session.

Plan:
The next session is scheduled for one week from today. Client will implement the timeout technique and practice reflective listening with their partner. Progress with these strategies will be reviewed in the next session.

Client Session Summary:

Here's the summary of this client session. Remember, Quill does not record the client session. A therapist would provide a summary (like the one below) after the session is over.

We had a 60-minute session today, and the client discussed ongoing frustrations with their partner. They said, "I get so angry over small things, and it’s like I can’t control it," explaining how quickly their anger escalates in certain situations. We explored the underlying triggers of their anger, which often stemmed from feeling unheard or dismissed by their partner. Client expressed frustration over their inability to communicate their feelings effectively without resorting to anger. We discussed the importance of finding healthier ways to express emotions and how to approach their partner with open, non-defensive communication.

I suggested they try a timeout technique when they feel anger rising—taking a short break to cool down before continuing the conversation. We also discussed the idea of practicing reflective listening with their partner to ensure both sides feel understood. Client seemed a bit relieved to have a strategy but also concerned about how their partner might react. They agreed to try the timeout approach when they feel triggered and to check in on how they’re doing next session. We’ll follow up in a week to see if this strategy is helping them manage their anger more effectively.

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