SOAP Note Example

Performance Anxiety

Client is addressing performance anxiety with CBT and visualization.

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 anxiety related to performing on stage, expressing 'I’m afraid of failing publicly.'

Objective:
40-minute session focused on using cognitive-behavioral therapy (CBT) techniques and visualization exercises. Client appeared anxious but willing to engage in the therapeutic interventions.

Assessment:
Client shows a willingness to work on anxiety with CBT, indicating a positive engagement with treatment.

Plan:
Client's homework is to practice daily visualization of a successful performance. Plan to follow up in the next scheduled 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.

In today's 40-minute session, client discussed his anxiety related to performing on stage. He said, "I’m afraid of failing publicly." We used cognitive-behavioral therapy (CBT) techniques to challenge his negative thoughts and practiced visualization exercises. Client’s homework is to visualize a successful performance each day. He seemed a bit anxious but willing to try this approach. We’ll follow up in our next session next week.

Other Note Formats:

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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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