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 reported feeling overwhelmed with workload and experiencing anxiety about meeting deadlines. She also has trouble sleeping and often wakes up at night with worries about tasks. Client stated, "I feel like I’m constantly on edge and can’t relax."
Intervention:
Conducted a 45-minute session at the clinic. Focus was on the importance of self-care and establishing a bedtime routine to improve sleep. Introduced basic mindfulness exercises.
Response:
Client seemed motivated to implement new techniques, expressing interest in the mindfulness exercises.
Plan:
Client assigned homework to practice a five-minute mindfulness exercise each day. Next session scheduled for next week at the clinic.
Client had a 45-minute session at the clinic today. She talked about feeling overwhelmed with her workload and said she is often anxious about meeting deadlines. Ummm, client mentioned that she has trouble sleeping and frequently wakes up at night worrying about tasks she needs to complete. She said, "I feel like I’m constantly on edge and can’t relax." We discussed the importance of self-care and established a goal for her to create a bedtime routine to help improve her sleep. We also introduced some basic mindfulness exercises. Client’s homework is to practice a five-minute mindfulness exercise each day. She seemed motivated and interested in trying out the new techniques. Our next session is scheduled for next week.
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