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.
Data:
Session duration was 60 minutes, held in-office. Client appeared anxious and reported significant difficulty in her relationship. Client stated, "Every time he doesn't text me back right away, I just panic." She described intense fear of abandonment triggered by her partner's behaviors, such as delayed responses, seeming distracted, or needing space. Client acknowledged these fears feel irrational but lead to behaviors that push her partner away, exacerbating her fear. Client shared a history of abandonment trauma, including her father leaving when she was young and past relationships where partners disappeared without explanation. She expressed that this has left her nervous system on high alert for signs of rejection. Therapist introduced emotional regulation strategies, including grounding (5-4-3-2-1 technique), self-soothing (e.g., using a blanket, calming music, or calling a safe friend), and reality-testing to assess whether fears are based on present circumstances or past experiences. Therapist also discussed secure attachment strategies, such as calmly communicating needs to her partner.
Assessment:
Client is making progress in identifying the roots of her abandonment fears and how they manifest in her current relationship. She engaged actively in the session and responded well to the introduction of emotional regulation and secure attachment strategies. Her awareness of the irrational nature of her fears and willingness to explore coping techniques align with her treatment goals of reducing relationship anxiety and improving emotional regulation.
Plan:
Client will practice grounding, self-soothing, and reality-testing techniques when abandonment fears arise. She will also work on calmly communicating her needs to her partner. The next session is scheduled for next week, in-office, to review her progress and further explore strategies for managing abandonment-related triggers.
Today's session was 60 minutes, in-office. Vanessa came in looking anxious and said she's been having a really hard time in her relationship. She said quote 'Every time he doesn't text me back right away, I just panic' unquote. She described how even small things, like her partner not responding immediately, or seeming distracted, or needing space, trigger this intense fear that he's going to leave. She said she knows it's not rational, but in the moment it feels so real, and she ends up acting in ways that push him away, which makes the fear worse.
We talked about abandonment trauma and where these patterns might be coming from. She opened up about how her dad left when she was really young, and then later she had a couple of relationships where people just disappeared without explanation. She said she just learned that people leave, and she's always waiting for it to happen again. That wound is still really active, and her nervous system is on high alert for any sign that someone's pulling away.
We worked on some emotional regulation strategies she can use when that panic hits. First, grounding, I taught her the 5-4-3-2-1 technique to help bring her back to the present moment instead of getting lost in the fear. Second, self-soothing, we talked about what she can do to comfort herself in those moments, like wrapping herself in a blanket, listening to calming music, or calling a friend who's safe. Third, reality-testing, asking herself whether the fear is based on what's happening right now or what happened before. We also talked about secure attachment strategies, like communicating her needs to her partner in a calm way instead of reacting from the panic. Her homework is to practice grounding and self-soothing this week when the abandonment fear comes up, and to try reality-testing before she reacts. We'll meet again next week to see how it went.
Looking for a different note format? Quill can generate AI therapy progress notes for those too!
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 DAP notes.
Quill can write your DAP notes!
Spend more time with your clients and less time on paperwork with Quill Therapy Solutions. Quill turns session summaries into professional notes, supporting many formats and offering unlimited notes for $20 per month.
Try generating DAP notes with Quill.
Try it for free. No credit card required.
