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 attended a 50-minute office session. He appeared somewhat distracted initially, glancing around during the conversation. Client reported stress related to a project deadline at work. Midway through the session, client expressed anxiety about whether sessions were being recorded or if anyone else could hear the conversations, stating, "I just need to know, are we being recorded right now? Is anyone else hearing this?" Client shared that this concern had been bothering him for a couple of weeks but he was unsure how to bring it up.
Intervention:
The therapist reassured the client that sessions are completely private, not recorded, and no AI tools or recording devices are used. The therapist explained that notes are taken by hand after sessions and are kept confidential. The therapist validated the client's concerns and encouraged him to ask questions about privacy or the process whenever needed. After addressing these concerns, the therapist facilitated a return to discussing work stress.
Response:
Client appeared relieved after receiving reassurance about privacy, stating he needed to know he could trust the space. He became more present and engaged in the discussion about work stress following the conversation about privacy concerns.
Plan:
Client is scheduled for a session next week at the same time. Future sessions may continue to address work-related stress and provide space for any additional process-related questions or concerns.
We had a 50-minute office session today. Chris came in and we started talking about how work's been going, some stress around a project deadline, pretty normal stuff. He seemed a little distracted though, kept kind of glancing around. About halfway through he asked if he could ask something about how this all works, and I said of course.
He told me that some of his friends have been in therapy and mentioned their therapists record sessions or use AI tools to take notes, and it's been making him anxious. He said quote 'I just need to know, are we being recorded right now? Is anyone else hearing this?' unquote. I could tell it was really bothering him. I reassured him that no, our sessions are completely private, nothing is recorded, I don't use any AI tools or recording devices during our time together. I explained that I take notes by hand after sessions, just the key points I need to remember, and those are kept confidential in his file. I told him that's a personal commitment I've made in my practice, to keep the therapy space as private and human as possible.
He looked so relieved. He said he'd been worrying about it for a couple weeks but didn't know how to bring it up. We talked about how it's totally reasonable to ask questions about privacy and how the process works, and that he should always feel comfortable doing that. He said he just needed to know he could trust that this space is really just between us. I validated that and told him he can ask me about any of this stuff anytime.
After that we got back to talking about the work stress, and he seemed a lot more present. Sometimes these process questions are just as important as the content. We wrapped up and scheduled for next week, same time.
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