SOAP Note Example

Anxiety About War and Democracy

Client is experiencing growing anxiety about the political climate, fears of war, and threats to democratic stability in the U.S.

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 shared deepening anxiety about the current political climate and fear of the upcoming election. They stated, "I keep thinking we’re headed toward something really dark," expressing worry about the return of Trump to office and its implications for civil rights, global stability, and democracy. Client described compulsively checking the news and social media, often late at night, which leaves them feeling helpless and overwhelmed. They reported fears of escalating international conflict, political violence, or authoritarianism, which are affecting their sleep, concentration, and mood. Client also shared feeling alienated in conversations with family members who dismiss their concerns as overreactions, contributing to a sense of isolation.

Objective:
55-minute telehealth session. Client appeared distressed and reported persistent anxiety. Therapist explored the impact of constant alarming headlines on client’s mood and functioning. Interventions included normalizing client’s distress, discussing coping strategies for regulating information intake, and encouraging reconnection with personal values.

Assessment:
Client continues to experience significant anxiety related to political instability, which is interfering with sleep, concentration, and mood. Compulsive media consumption is exacerbating feelings of helplessness and overwhelm. Client responded well to interventions aimed at normalizing their distress and exploring strategies for reducing emotional overload. Progress aligns with treatment goals of managing anxiety and building resilience.

Plan:
Client agreed to track how media consumption affects their mood and to experiment with limiting news check-ins to set times each day. Therapist and client will revisit these strategies in the next session to assess their effectiveness in reducing anxiety. Continuation of treatment will focus on building emotional resilience and exploring additional coping strategies for managing distress in uncertain times.

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, and then Quill would generate a note similar to the one above.

In today’s 55-minute telehealth session, the client shared their deepening anxiety about the current political climate and fear of what might happen in the upcoming election. They said, "I keep thinking we’re headed toward something really dark," expressing worry about the return of Trump to office and what that means for civil rights, global stability, and democracy as a whole. The client described compulsively checking the news and social media, often late at night, which leaves them feeling helpless and overwhelmed.

We explored how the constant influx of alarming headlines is contributing to a persistent sense of dread. The client talked about how fears of escalating international conflict, political violence, or authoritarianism are affecting their sleep, concentration, and general mood. They shared feeling alienated in conversations with family members who dismiss their concerns as overreactions, adding to their sense of isolation.

I normalized their distress as a valid response to political instability and emphasized the importance of regulating their information intake to avoid emotional overload. We discussed coping strategies for staying informed without becoming consumed, such as setting news boundaries and balancing engagement with restorative activities. I also encouraged them to reconnect with personal values—like fairness, safety, and justice—as a way to guide where and how they direct their energy.

For homework, the client agreed to track how their media consumption affects their mood and to experiment with limiting their news check-ins to set times each day. We’ll revisit next session to see if this helps reduce the intensity of their anxiety and explore further steps for building emotional resilience in uncertain times.

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More About SOAP Notes:

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