Therapy Note Example

Premature Grief (Anticipatory Grief)

Client explored anticipatory grief as a loved one's health declined, and worked on staying present while preparing emotionally.

Therapy Progress Notes:

These therapy progress notes were written by Quill based on this specific therapy scenario.

Client Session Summary:

The therapy progress notes listed above were generated based on this summary of a client session. Quill does not record the client session. Hopefully this helps illustrate how Quill works -- a therapist would provide a summary (like this one below) after the session is over, and Quill would then generate a note like one of these examples above.

We had a 50-minute virtual session today. Rachel logged in looking sad and said her dad's health has been declining and she's been feeling this overwhelming sadness even though he's still here. She said quote 'I feel like I'm already grieving him, and then I feel guilty because he's still alive' unquote. She described how every time she visits him, she's thinking about how much he's changed and how little time might be left, and it's hard for her to just be present with him.

We talked about anticipatory grief and how it's a completely normal response when someone you love is facing a serious or terminal illness. I explained that grieving in advance doesn't mean you're giving up or wishing it would happen sooner, it's your heart trying to prepare for something really painful. She seemed relieved to hear that, like she'd been carrying so much guilt about it. She said she thought something was wrong with her for feeling this way.

We worked on finding ways to stay present while also honoring the grief. I suggested that she give herself permission to feel both, the sadness about what's coming and the gratitude for the time she still has. We talked about creating small meaningful moments with her dad, things that don't require him to be the person he used to be, like just sitting together or listening to music he loves. I also encouraged her to write down memories or things she wants to tell him, as a way to process the grief without it taking over every visit. Her homework is to try one meaningful visit this week where she focuses on just being with him, and to start a journal for the memories and feelings that come up. We'll meet again next week to see how it's going.

More about Quill and how it can help write therapy progress notes:

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