SOAP Note Example: Self-Identity 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 feelings of confusion regarding his identity, stating that he feels like he's living a life that's not his own. Client directly stated, "I don’t even know who I am anymore."

Objective:
The 45-minute session utilized Internal Family Systems (IFS) therapy to help the client identify and communicate with different parts of himself. The client appeared curious and receptive to the therapy.

Assessment:
Client's willingness to explore IFS therapy indicates openness to self-exploration and therapeutic interventions.

Plan:
Assigned homework to journal about the various parts of himself and their feelings. Scheduled a follow-up session for next week to continue IFS therapy.

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.

During today’s 45-minute session, client talked about feeling confused about his identity and mentioned he feels like he’s living a life that’s not his own. He said, "I don’t even know who I am anymore." We used Internal Family Systems (IFS) therapy to identify and communicate with different parts of himself. Client’s homework is to journal about the different parts he identified and their feelings. He seemed curious and open to exploring this approach. 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.