SOAP Note Example

Pregnancy and Financial Stress

Client is experiencing financial difficulties while also navigating the stress of pregnancy.

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 reported feeling overwhelmed due to financial pressures associated with pregnancy. They expressed concern, stating "I don’t know how we’re going to afford everything once the baby comes." Client discussed the accumulating costs of baby preparations and medical bills.

Objective:
The 50-minute virtual session focused on the client's stress related to financial planning for their upcoming baby. Client appeared stressed at the beginning but seemed calmer by the end of the session. Interventions included discussing the breakdown of financial concerns into manageable tasks and exploring local community resources.

Assessment:
Client is experiencing financial stress related to pregnancy. They responded positively to the suggestion of breaking down financial worries and utilizing community resources. Client showed signs of reduced stress by the end of the session with a clearer plan in mind.

Plan:
Assigned homework to client to list immediate needs and explore community resources. Plan to meet next week to review progress and continue with the current treatment strategy, focusing on stress management and financial planning.

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.

We had a 50-minute virtual session today. Client logged in looking really stressed and said they’ve been struggling with pregnancy and all the financial pressure that comes with it. They said quote 'I don’t know how we’re going to afford everything once the baby comes' unquote. They talked about how the costs of preparing for a baby—like medical bills, baby gear, and everything else—are really starting to add up, and it’s been making them feel overwhelmed.

We spent some time talking about how important it is to take things one step at a time. I suggested breaking down their financial worries into smaller, manageable pieces, like focusing on what they need to prepare before the baby arrives and what can wait until later. We also discussed looking into local resources, like food banks, second-hand stores, and community programs that offer assistance to expectant parents. Their homework is to make a list of their most immediate needs and to explore some of the community resources we talked about. They seemed a bit calmer by the end of the session, like they had a clearer plan. We’ll meet again next week to follow up.

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