SOAP Note Example

Adjusting to Parenthood for New Moms

Client is navigating the challenges of new motherhood and managing self-care.

Generated SOAP 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.

Subjective:
Client discussed the overwhelming demands of new motherhood, expressing difficulty balancing care for their newborn with their own emotional and physical needs. They stated, "I feel like I'm always giving and never receiving," and described feeling drained after each day of constant care. Client also expressed guilt about taking time for themselves, worrying it would make them a bad mother.

Objective:
50-minute session. Client appeared emotionally fatigued but engaged throughout the session. Therapist guided client in exploring self-care strategies and addressing feelings of guilt.

Assessment:
Client is experiencing significant stress related to new motherhood, which is impacting their emotional well-being. They responded positively to interventions focused on reframing self-care as essential for parenting and appeared open to implementing small self-care practices. Progress aligns with treatment goals of reducing stress and improving self-compassion.

Plan:
Client assigned homework to engage in a daily 10-minute self-care practice, such as reading or taking a relaxing bath. Therapist and client will follow up in the next session to evaluate progress and adjust strategies as needed. Continuation of the treatment plan will focus on supporting client in managing stress and fostering self-compassion.

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.

Today’s 50-minute session focused on the overwhelming demands of new motherhood. The client shared how difficult it’s been to balance caring for their newborn with their own emotional and physical needs. They said, "I feel like I'm always giving and never receiving," describing how drained they feel after each day of constant care and attention to their baby. We discussed the importance of self-care and how it’s easy to neglect one’s own needs when caring for a child. Client expressed guilt about taking time for themselves, worrying that it would make them a bad mother.

We worked through the idea that caring for themselves is actually vital to being able to care for their child in the long run. I suggested starting small with self-care, such as taking 10 minutes each day to engage in something that brings them joy or relaxation. We also explored the possibility of asking for help from family or friends to allow for some time alone. Client seemed relieved to have a plan and was open to the idea of taking small steps towards incorporating self-care. Their homework is to start with a daily 10-minute practice, such as reading a book or taking a relaxing bath. We’ll follow up next week to evaluate how they’re adjusting.

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More About SOAP Notes:

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