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 expressed concerns about their gender identity, feeling uncertain and stating 'I don’t know where I fit in.' They reported feeling confused about self-expression and how family expectations contribute to a sense of being stuck and unable to be authentic. Client discussed feelings of isolation and anxiety over potential reactions from others in their life.
Objective:
60-minute session held at the therapist's office. Client appeared nervous upon arrival. The therapist observed the client's anxiety related to fear of rejection. Interventions included discussing self-acceptance, suggesting journaling to track feelings and comfortable identity moments, and exploring safe spaces for identity expression.
Assessment:
Client is beginning to address their gender identity concerns and the associated emotional distress. They are showing initial signs of relief and openness to therapeutic interventions such as journaling and seeking supportive communities.
Plan:
Scheduled next session for two weeks to follow up on the client's emotional state and progress with journaling. The therapist will continue to support the client in their journey towards self-acceptance and finding safe spaces for identity exploration.
We had a 60-minute session today at the office. Client came in looking a little nervous, said they’ve been questioning their gender identity for a while now, and it’s been really weighing on them. They said quote 'I don’t know where I fit in' unquote. We started talking about how they feel really confused about expressing themselves and how family expectations have been making it worse. They mentioned that their family’s pretty traditional, and it’s making them feel stuck, like they can’t be who they really are. They talked about how they’ve been feeling kinda isolated and anxious because they don’t know how people in their life will react. It was pretty heavy.
We dove into some of those fears, and I could tell that the fear of rejection has been a big thing for them. We talked about how self-acceptance is not something that happens overnight, and it’s a process. They said quote 'I just want to feel like I’m being real, not hiding all the time' unquote. I suggested they start keeping a journal to write down their feelings and maybe even track moments where they felt the most comfortable in their identity—just to reflect. They seemed pretty open to that idea. We also talked about finding spaces or communities where they feel safe to explore their identity without judgment, because that could help ease some of this anxiety.
They seemed kinda relieved by the end of the session, like they finally have a direction to start working through this. We’re gonna meet again in two weeks to see how they’re feeling and how the journaling is going.
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