SOAP Note Example

Managing OCD

Client is managing OCD with ERP 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 impact of his obsessive-compulsive disorder on daily activities. Specifically stated, "I feel compelled to check." Client described feeling nervous but expressed commitment to applying therapeutic techniques.

Objective:
45-minute session focused on exposure and response prevention therapy to address compulsions and anxiety.

Assessment:
Client is confronting OCD through ERP therapy and exhibits a degree of anxiety but demonstrates commitment to treatment.

Plan:
Client's homework is to practice one ERP exercise daily. Scheduled to reconvene for a session next week.

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.

During today’s 45-minute session, client talked about his obsessive-compulsive disorder and how it impacts his daily routine. He said, "I feel compelled to check." We used exposure and response prevention (ERP) therapy to address his compulsions and reduce anxiety. Client’s homework is to practice one ERP exercise daily. He seemed nervous but committed to trying the technique. We’ll meet again next week.

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More About SOAP Notes:

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