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 ongoing struggles with substance abuse, discussing the challenges associated with maintaining sobriety and the effects on relationships.
Intervention:
A 60-minute session utilized motivational interviewing and relapse prevention strategies to address the client's substance abuse issues.
Response:
Client expressed a need to "stay clean" and appeared hopeful, demonstrating a commitment to the recovery process.
Plan:
Homework assigned includes attending a support group meeting and creating a relapse prevention plan. Next session is scheduled for next week.
Today’s 60-minute session with the client focused on his struggle with substance abuse. He mentioned the difficulties of staying sober and the impact on his relationships. He said, "I need to stay clean." We used motivational interviewing and relapse prevention strategies. Client’s homework is to attend a support group meeting and develop a relapse prevention plan. He seemed hopeful and committed to recovery. We’ll meet again next week.
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