SOAP Note Example

Loneliness in a New City

Client is feeling isolated after moving to a new city and struggling to make connections.

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 feelings of loneliness after relocating to a new city. They stated, "I don’t know where to start, and it feels like everyone already has their groups," highlighting the difficulty of making new friends. Client expressed fear of rejection and uncertainty about approaching strangers or forming new connections.

Objective:
50-minute telehealth session. Client appeared engaged and open but expressed anxiety about initiating social interactions. Therapist guided client in exploring strategies to connect with others, including joining local groups or taking classes aligned with their interests.

Assessment:
Client is experiencing loneliness and anxiety related to social connection, which aligns with their current treatment goals of improving social engagement. Client appeared receptive to suggestions but remains apprehensive about initiating conversations.

Plan:
Client will research one social group or activity of interest and attend it virtually within the next week as homework. Therapist will follow up in the next session to assess progress and address any challenges. Continued focus will be on building confidence and setting achievable social goals.

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 telehealth session focused on the client’s feelings of loneliness after relocating to a new city. They said, "I don’t know where to start, and it feels like everyone already has their groups," explaining how difficult it’s been to make new friends. We discussed ways to start connecting, including joining local groups or taking classes that align with their interests. The client expressed fear of rejection, unsure about how to approach strangers or make new connections. We talked about how many people in new cities experience the same feelings and how it takes time to build meaningful relationships.

I suggested that they start by attending virtual events or online communities that align with their interests, as this might feel less intimidating initially. I encouraged them to set small social goals, like introducing themselves to at least one person at each event. Client seemed open to the idea but was still anxious about how to initiate conversations. Their homework is to research one social group or activity they’d like to join and attend it virtually within the next week. We’ll follow up next week to see how they’re doing.

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