SOAP Note Example: Rejection in Social Situations

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 shared how rejection in social situations has led to feelings of isolation and lower self-esteem. They stated, "I take it so personally when people don’t respond to me or include me," and explained how minor social snubs feel devastating. Client expressed difficulty moving past these feelings and reported ruminating over perceived slights long after the interaction has ended.

Objective:
The 45-minute session took place in the therapist's office. Client appeared engaged and open during the discussion. Therapist explored the concept of rejection sensitivity, its potential roots in past experiences, and its impact on the client’s perception of social interactions. Therapist guided client in understanding how rejection sensitivity may skew their interpretation of events.

Assessment:
Client continues to struggle with rejection sensitivity, which negatively impacts their self-esteem and social interactions. They demonstrated insight into the issue and appeared receptive to exploring strategies to address it. Client expressed willingness to try suggested techniques but voiced concerns about their effectiveness.

Plan:
Client was assigned homework to notice any feelings of rejection during the week and practice reframing them. The next session will involve reviewing their progress with these strategies and continuing to address rejection sensitivity and its effects on their self-esteem and social interactions.

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 45-minute in-office session, the client shared how rejection in social situations has led to feelings of isolation and lower self-esteem. They said, "I take it so personally when people don’t respond to me or include me," explaining how minor social snubs feel devastating. We discussed how rejection sensitivity can stem from past experiences and how it can skew their perception of social interactions. The client expressed difficulty in moving past these feelings, often ruminating over perceived slights long after the interaction has ended.

We talked about the importance of not internalizing rejection and reframing it as a natural part of human interaction. I suggested they start practicing self-compassion and challenge negative thoughts by asking themselves if they are making assumptions about the other person’s intentions. Client seemed willing to try these strategies but worried they wouldn’t work. Their homework is to notice any feelings of rejection during the week and practice reframing them. We’ll discuss their progress next session.

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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.