PIRP Note Example

Betrayal in Friendships

Client is working through feelings of betrayal and hurt in a friendship.

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 emotional pain after a close friend betrayed their trust, stating, "I don’t know if I can ever trust them again." They reported difficulty letting go of the hurt and shared that the betrayal has caused doubt in other friendships. The client appeared conflicted and discussed the emotional impact of the situation, including feelings of grief and insecurity in relationships.

Intervention:
The session lasted 50 minutes. The therapist explored the concept of betrayal and its emotional effects, including grief and insecurity. The therapist reassured the client that their conflicted feelings are normal and discussed strategies for setting healthy boundaries if the client chooses to maintain the friendship. The therapist encouraged the client to reflect on their needs for healing before making a decision.

Response:
Client appeared somewhat overwhelmed but acknowledged the importance of processing their emotions before taking action. They agreed to write down their feelings about the friendship over the next week and revisit the decision once they gain more clarity.

Plan:
Client will write down their feelings about the friendship over the next week. The next session will include evaluating their emotional progress and discussing their reflections. Continuation of the treatment plan to support the client in processing their emotions and navigating the situation.

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.

Today’s 50-minute session focused on the pain the client is feeling after a close friend betrayed their trust. They said, "I don’t know if I can ever trust them again," explaining the deep emotional impact the situation has had on them. The client discussed how the betrayal has created doubt in other friendships and how it’s difficult for them to let go of the hurt. We talked about how betrayal can lead to feelings of grief and a sense of insecurity in relationships. I reassured the client that it’s normal to feel conflicted about whether to repair the friendship or let it go.

We explored the idea of setting healthy boundaries with the friend if they choose to continue the relationship. I suggested taking time to reflect on what they need in order to heal before making any decisions. Client seemed a little overwhelmed but acknowledged the need to process their emotions before taking any action. They agreed to write down how they feel about the friendship over the next week and revisit the decision once they feel more clear. We’ll check in next session to evaluate how they’re feeling.

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More About PIRP Notes:

From even more examples, to an overview of the format in general, to templates, to a cheat sheet, here's everything you need to know about PIRP notes.

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