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 attended today's session presenting with feelings of uncertainty about the future and symptoms consistent with her recent generalized anxiety disorder diagnosis. Client expressed her incessant worry about potential events and described being continuously on edge.
Intervention:
Introduced cognitive-behavioral techniques focused on understanding anxiety and identifying triggers during a 45-minute session at the clinic.
Response:
Client reported, "I just can’t seem to stop my mind from racing all the time." She remained engaged throughout the session and inquired actively about how to challenge her negative thoughts.
Plan:
Assigned homework for the client is to maintain a thought diary to document anxiety triggers. Scheduled to reconvene in two weeks for a follow-up session.
Client attended a 45-minute session today at the clinic. She discussed her recent diagnosis of generalized anxiety disorder and her feelings of uncertainty about the future. Ummm, she said she often worries about things that might happen and feels like she’s always on edge. She said, "I just can’t seem to stop my mind from racing all the time." We talked about understanding anxiety and identifying triggers. We introduced cognitive-behavioral techniques to challenge negative thoughts. Client’s homework is to keep a thought diary and note situations that trigger her anxiety. She was engaged and asked questions about the techniques. Our next session is in two weeks.
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