PIRP Note Example

Overcoming Perfectionism

Client is struggling with perfectionism, particularly in their work and personal life.

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 frustration over their perfectionist tendencies, particularly in their job, stating, "I just can't let anything be less than perfect." They reported experiencing stress and burnout due to over-preparing and an inability to relax or feel satisfied with their work. Client linked these tendencies to early childhood experiences with overbearing caregivers. They also discussed the negative impact of perfectionism on their relationships and self-esteem, often feeling like they fall short despite their best efforts.

Intervention:
The session lasted 50 minutes. The therapist explored the origins and impact of the client’s perfectionistic tendencies, linking them to early childhood experiences. The therapist discussed how perfectionism can block personal growth and reduce productivity. Suggested interventions included setting achievable goals and focusing on progress rather than perfection.

Response:
Client appeared hesitant but expressed willingness to try the suggested approach. They agreed to set one "imperfection" goal for the week and seemed open to exploring how letting go of control might feel. Client demonstrated insight into how their perfectionism affects their life and relationships.

Plan:
Client was assigned homework to complete one task without revising it endlessly and to notice how it feels to let go of control. The next session will include a follow-up on how they are managing with this goal and may further explore strategies to address perfectionism.

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 50-minute session today, and the client began by expressing frustration over their perfectionist tendencies, particularly in their job. They said, "I just can't let anything be less than perfect," explaining how it causes them a great deal of stress. They mentioned how this tendency to over-prepare often leads to burnout, where they are unable to relax or feel satisfied with their work. We discussed how perfectionism can block personal growth and reduce productivity in the long run, leading them to feel overwhelmed by the pressure they place on themselves. We also explored the origin of their perfectionistic tendencies, linking them to early childhood experiences with overbearing caregivers.

In our session, we talked about the impact perfectionism has had on their relationships and self-esteem, often feeling like they fall short despite their best efforts. I suggested starting small by setting achievable goals and focusing on progress rather than perfection. The client seemed hesitant but was willing to try, agreeing to set one "imperfection" goal for the week. Their homework is to complete one task without revising it endlessly, noticing how it feels to let go of control and allow things to be "good enough." We’ll follow up next session to evaluate how they are managing.

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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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