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.
Problem:
Client appeared unsure and reported feeling confused about what is real and what is not. Client stated, "I don't even trust my own memory anymore." They described their partner frequently dismissing their perceptions, saying they are "too sensitive" or that events did not happen as they remember. Client reported second-guessing themselves and doubting their own reality. They expressed distress over these experiences and shared that they have been struggling with self-doubt and confusion.
Intervention:
The session was 50 minutes, in-office. Therapist explained gaslighting as a form of emotional abuse and normalized the client's experiences of confusion, self-doubt, and mistrust in their own perceptions as common effects of gaslighting. Therapist validated the client's feelings and perceptions as real and trustworthy. Therapist introduced the idea of keeping a journal to document conversations and events as a way to rebuild trust in their own perceptions. Discussed boundaries, safety planning, and external support systems. Provided resources for domestic violence support.
Response:
Client appeared relieved but also sad upon learning about gaslighting, expressing a sense of loss over hoping they were "just being too sensitive." Client engaged in discussion about boundaries and safety, identifying a close friend who has noticed similar patterns in their relationship. Client seemed scared but slightly more grounded by the end of the session, showing signs of beginning to trust themselves again.
Plan:
Client will begin journaling conversations and events to document facts and rebuild trust in their perceptions. Client will reach out to their close friend for support. Therapist provided domestic violence resources for the client to have on hand. The next session is scheduled for next week to check in on progress and continue addressing these concerns.
Today's session was 50 minutes, in-office. Jordan came in looking really unsure of themselves and said they've been feeling confused a lot lately about what's real and what's not. They said quote 'I don't even trust my own memory anymore' unquote. They described how their partner keeps telling them they're too sensitive or that things didn't happen the way they remember. They'll bring up something their partner said or did, and their partner will say they're imagining it or overreacting, and after a while Jordan started to believe it. They said it's gotten to the point where they second-guess everything.
We talked about gaslighting and how it's a form of emotional abuse where someone manipulates you into doubting your own reality. I explained that what they're experiencing, the confusion, the self-doubt, the feeling like they can't trust themselves, those are really common effects of gaslighting. Jordan seemed relieved and also really sad, like they'd been holding onto hope that maybe they were just being too sensitive. I validated that their perceptions and feelings are real and trustworthy, and that the confusion is coming from someone else's manipulation, not from a flaw in them.
We worked on rebuilding trust in their own perceptions. I suggested they start keeping a journal of conversations and events, just the facts, so they have something to refer back to when their partner tries to rewrite what happened.
Let me think, what else did we cover. Oh yeah, we talked about boundaries, what they need in order to feel safe, and what they'll do if those boundaries get crossed. We discussed whether they have support outside the relationship, people who can reality-check with them and remind them they're not crazy. Jordan said they have a close friend who's been noticing the same things, which is good. We also talked about safety planning, in case things escalate. I gave them some resources for domestic violence support, just to have on hand. Their homework is to start that journal this week and to reach out to their friend for support. They seemed scared but also a little more grounded, like they're starting to trust themselves again. We'll meet again next week to check in.
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