BIRP Note Example

Internal Family Systems (IFS)

Client explored different internal parts and worked on building Self energy and trust between parts.

Generated BIRP 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.

Behavior:
Client presented to the session appearing frustrated and reported a recurring pattern of explosive anger during conflicts, followed by feelings of regret. Client stated, "It's like I'm not even in control when it happens." Client described an "angry protector" part that emerges when feeling criticized or attacked, which he identified as a defense mechanism. Client also recognized a younger, exiled part carrying shame from childhood experiences of being bullied.

Intervention:
The session lasted 60 minutes and took place in the therapist's office. The therapist facilitated exploration of the client's "protector" part, helping the client understand its role in providing safety through anger. The therapist guided the client in unblending from the protector and connecting with his Self energy. The client practiced engaging with both the protector and the younger, exiled part from a grounded and calm perspective. Reassurance was provided to the protector part that the Self could manage situations safely.

Response:
Client engaged actively in the session and demonstrated insight into the roles of his internal parts. He expressed a sense of relief by the end of the session, noting that the parts were not in as much conflict. This progress aligns with his treatment goal of managing emotional responses during conflict.

Plan:
Client is assigned homework to notice when the protector part arises and to check in with it from Self, asking what it needs. The next session is scheduled for next week, where progress will be reviewed, and further work on building internal trust may take place.

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, and then Quill would generate a note similar to the one above.

We had a 60-minute office session today. Marcus came in looking pretty frustrated and said he's been noticing this pattern where he just explodes during conflict, and afterward he feels terrible about it. He said quote 'It's like I'm not even in control when it happens' unquote. We started exploring what was coming up for him in those moments, and he described this really intense angry part that he calls his 'protector.' It shows up whenever he feels criticized or attacked, and it just takes over.

We spent some time getting curious about that protector part, what it's trying to do for him. Marcus realized that it's actually trying to keep him safe, like it learned a long time ago that anger was the best defense. As we dug deeper, he started noticing a younger part underneath all that anger, a part that carries a lot of shame from when he was a kid and got bullied pretty badly. That younger part, the exiled part, has been buried under the protector's anger for years.

We worked on unblending from the angry protector, helping Marcus step back and notice it without being completely taken over by it. I guided him through connecting with his Self energy, that calmer, more grounded part of him, and we practiced having his Self talk to both the protector and the younger part. The protector was really worried that if it stepped back, Marcus would get hurt, so we reassured it that the Self could handle things now. By the end of the session, Marcus said he felt this sense of relief, like these parts weren't fighting each other as much. His homework is to notice when the protector shows up this week and try to check in with it from Self, just asking what it needs. We'll meet again next week to see how it goes and keep building that internal trust.

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More About BIRP 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 BIRP notes.

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