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 her struggles with body image and self-acceptance, stating, "I hate how I look." She communicated engagement with the material by asking questions about the techniques introduced in session.
Objective:
The 45-minute session focused on the use of DBT to aid in emotional regulation and to introduce mindfulness practices.
Assessment:
Client was receptive to DBT interventions and the introduction of mindfulness practices to address her self-acceptance issues.
Plan:
Client’s homework is to practice body neutrality exercises and maintain a daily gratitude journal. The next session is scheduled for two weeks from today.
Client had a 45-minute session today discussing her struggles with body image and self-acceptance. She said, "I hate how I look." We used DBT to address her emotional regulation and introduce mindfulness practices. Client’s homework is to practice body neutrality exercises and keep a daily gratitude journal. She was engaged and asked questions about the techniques. Our next session is scheduled for two weeks from today.
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