PIRP Note Example

Anxiety About War and Democracy

Client is experiencing growing anxiety about the political climate, fears of war, and threats to democratic stability in the U.S.

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 expressed deepening anxiety about the current political climate and fear of the upcoming election, stating, "I keep thinking we’re headed toward something really dark." They voiced concerns about the potential return of Trump to office and its implications for civil rights, global stability, and democracy. Client reported compulsively checking the news and social media, often late at night, which leaves them feeling helpless and overwhelmed. They described fears of escalating international conflict, political violence, or authoritarianism, and noted that these concerns are negatively impacting their sleep, concentration, and general mood. Client also shared feeling alienated in conversations with family members who dismiss their concerns, which contributes to their sense of isolation.

Intervention:
55-minute telehealth session. Therapist explored how the constant influx of alarming headlines contributes to the client’s persistent sense of dread. Therapist normalized the client’s distress as a valid response to political instability and emphasized the importance of regulating information intake to avoid emotional overload. Coping strategies were discussed, including setting boundaries for news consumption and balancing engagement with restorative activities. Therapist encouraged the client to reconnect with personal values, such as fairness, safety, and justice, to guide their energy and focus.

Response:
Client engaged actively in the discussion and appeared receptive to the normalization of their distress. They expressed interest in the proposed coping strategies and agreed to experiment with limiting their news check-ins. Client demonstrated insight into how their media consumption is exacerbating their anxiety and appeared motivated to explore ways to reduce emotional overload.

Plan:
Client will track how their media consumption affects their mood and experiment with limiting news check-ins to set times each day. Next session will revisit these efforts to assess their impact on the client’s anxiety and explore additional steps for building emotional resilience in uncertain times. Continuation of the treatment plan with a focus on managing anxiety and fostering emotional regulation.

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, and then Quill would generate a note similar to the one above.

In today’s 55-minute telehealth session, the client shared their deepening anxiety about the current political climate and fear of what might happen in the upcoming election. They said, "I keep thinking we’re headed toward something really dark," expressing worry about the return of Trump to office and what that means for civil rights, global stability, and democracy as a whole. The client described compulsively checking the news and social media, often late at night, which leaves them feeling helpless and overwhelmed.

We explored how the constant influx of alarming headlines is contributing to a persistent sense of dread. The client talked about how fears of escalating international conflict, political violence, or authoritarianism are affecting their sleep, concentration, and general mood. They shared feeling alienated in conversations with family members who dismiss their concerns as overreactions, adding to their sense of isolation.

I normalized their distress as a valid response to political instability and emphasized the importance of regulating their information intake to avoid emotional overload. We discussed coping strategies for staying informed without becoming consumed, such as setting news boundaries and balancing engagement with restorative activities. I also encouraged them to reconnect with personal values—like fairness, safety, and justice—as a way to guide where and how they direct their energy.

For homework, the client agreed to track how their media consumption affects their mood and to experiment with limiting their news check-ins to set times each day. We’ll revisit next session to see if this helps reduce the intensity of their anxiety and explore further steps for building emotional resilience in uncertain times.

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More About PIRP Notes:

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