PIRP Note Example

Peer Pressure in Adolescence

Client is dealing with peer pressure and struggling to assert boundaries with friends.

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 feeling pressured by friends to engage in behaviors they are uncomfortable with. They stated, "I don’t want to be the odd one out, but I don’t like what they’re doing," highlighting their struggle between fitting in and staying true to their values.

Intervention:
The session lasted 45 minutes. The therapist validated the client’s feelings and emphasized the importance of asserting boundaries. Peer pressure was normalized as a part of adolescence, and the therapist facilitated role-playing scenarios to practice assertive responses. The therapist suggested practicing saying "no" in smaller, less risky situations to build confidence.

Response:
Client appeared nervous but expressed willingness to try practicing assertive communication. They engaged in the role-playing exercises and demonstrated some understanding of the strategies discussed.

Plan:
Client was assigned homework to identify one situation in the upcoming week where they could assert a boundary and reflect on the experience. The next session will continue to explore their feelings and progress with these skills.

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.

In today’s 45-minute session, the client shared how they feel pressured by their friends to engage in behaviors they’re uncomfortable with. They said, "I don’t want to be the odd one out, but I don’t like what they’re doing," explaining how torn they feel between fitting in and staying true to their values. We discussed how peer pressure is a normal part of adolescence but how it’s important to learn how to assert boundaries in a way that feels authentic. I validated their feelings and emphasized that it’s okay to say "no" even if it feels uncomfortable.

We worked through a few scenarios where they might face peer pressure and role-played some ways to handle the situation assertively. I suggested they practice saying "no" in smaller, less risky situations to build confidence for more challenging moments. Client seemed a bit nervous but was willing to give it a try. Their homework is to think of one situation in the next week where they could assert a boundary and reflect on how it went. We’ll talk more next session about how they feel after practicing these skills.

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More About PIRP Notes:

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