Subjective:
Client attended the session to discuss her recent generalized anxiety disorder diagnosis and associated feelings of uncertainty about the future. She reported frequent worry and a constant sensation of being on edge. Client stated, "I just can’t seem to stop my mind from racing all the time."
Objective:
The 45-minute session took place at the clinic. Client's mental status was consistent with someone experiencing generalized anxiety disorder. Cognitive-behavioral techniques were introduced to assist in managing negative thoughts. Client was engaged and inquired about how to apply these techniques.
Assessment:
Client is making progress in understanding her anxiety and identifying triggers. Her ability to articulate worries and engage with therapeutic techniques is promising for her treatment trajectory.
Plan:
Client was assigned the homework of maintaining a thought diary to record anxiety triggers. The next session is scheduled for two weeks from today, with a focus on reviewing the thought diary and further cognitive-behavioral training.