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 presented with concerns about their gender identity, feeling nervous and expressing confusion about self-expression due to traditional family expectations. Client reported feeling 'stuck' and 'isolated,' with anxiety about potential reactions from others in their life.
Intervention:
During the 60-minute session in the office, the therapist explored the client's fears, particularly the fear of rejection, and discussed the process of self-acceptance. The therapist suggested journaling to track feelings and moments of comfort in their identity, and seeking safe communities for identity exploration.
Response:
Client acknowledged their fear of rejection and the pressure of family expectations. They resonated with the idea of journaling, stating 'I just want to feel like I’m being real, not hiding all the time,' and showed interest in finding supportive communities.
Plan:
The client agreed to start journaling and consider seeking supportive spaces. The therapist and client will reconvene in two weeks to assess the client's feelings and progress with the journaling intervention.
We had a 60-minute session today at the office. Client came in looking a little nervous, said they’ve been questioning their gender identity for a while now, and it’s been really weighing on them. They said quote 'I don’t know where I fit in' unquote. We started talking about how they feel really confused about expressing themselves and how family expectations have been making it worse. They mentioned that their family’s pretty traditional, and it’s making them feel stuck, like they can’t be who they really are. They talked about how they’ve been feeling kinda isolated and anxious because they don’t know how people in their life will react. It was pretty heavy.
We dove into some of those fears, and I could tell that the fear of rejection has been a big thing for them. We talked about how self-acceptance is not something that happens overnight, and it’s a process. They said quote 'I just want to feel like I’m being real, not hiding all the time' unquote. I suggested they start keeping a journal to write down their feelings and maybe even track moments where they felt the most comfortable in their identity—just to reflect. They seemed pretty open to that idea. We also talked about finding spaces or communities where they feel safe to explore their identity without judgment, because that could help ease some of this anxiety.
They seemed kinda relieved by the end of the session, like they finally have a direction to start working through this. We’re gonna meet again in two weeks to see how they’re feeling and how the journaling is going.
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