SOAP Note Example: Relationship Issues

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 challenges in his marriage, noting frequent arguments and a sense of disconnection with his spouse. Client stated, "We just don’t seem to understand each other anymore."

Objective:
The 60-minute session employed Gottman Method Couples Therapy techniques to enhance communication and foster trust. Client appeared hopeful and exhibited a commitment to work on his marital issues.

Assessment:
Client is progressing in addressing marital difficulties and is engaged in the therapeutic process.

Plan:
Client's homework involves practicing active listening and acknowledging a positive trait of his spouse daily. The next session is scheduled for the following week to continue the current therapeutic approach.

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.

Today’s 60-minute session with the client focused on his difficulties in his marriage. He mentioned frequent arguments and feelings of disconnect with his spouse. He said, "We just don’t seem to understand each other anymore." We used Gottman Method Couples Therapy techniques to improve communication and rebuild trust. Client’s homework is to practice active listening and share one positive thing about his spouse each day. He seemed hopeful and committed to improving his relationship. We’ll meet again next week.

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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.