SOAP Note Example

Grief and Loss

Client is processing grief using EMDR therapy.

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 recent loss of her mother and feelings of deep sadness and guilt. She stated, "I keep thinking I should have done more."

Objective:
60-minute session held at the therapist’s office. Client seemed engaged throughout the session. Interventions included EMDR techniques to focus on processing traumatic memories.

Assessment:
Client is grieving and showing willingness to engage in therapeutic techniques to process her loss. EMDR was used to facilitate this process in session.

Plan:
Client's homework is to write a letter to her mother expressing her feelings. Next session scheduled for two weeks from now at the therapist’s office.

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.

Client had a 50-minute session today discussing the recent loss of her father. She expressed deep sadness and difficulty accepting the reality. She said, "I miss him so much." We used EMDR to process her grief and explore her memories. Client’s homework is to create a memory box with items that remind her of her father. She appeared comforted by the process. Our next session is scheduled for two weeks from today.

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More About SOAP Notes:

From even more examples, to an overview of the format in general, to templates, to a cheat sheet, here's everything you need to know about SOAP notes.

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