The session was a 60-minute office session. Client appeared worn down and reported increasing difficulty in caring for his mother, who has dementia. Client stated, "She's not the same person anymore, and I don't know how to deal with it." He described significant changes in his mother's personality, noting that she was once warm and funny but is now often confused, agitated, and sometimes does not recognize him. Client expressed feelings of grief over these changes, stating it feels like grieving her while she is still alive, which also leads to feelings of guilt. Therapist validated the client's experience, explaining the concept of anticipatory grief and normalizing his feelings of mourning while caring for his mother in her current state. Client also discussed the stress of caregiving, sharing that he has been managing most of it alone and feels exhausted, with guilt preventing him from taking breaks. Therapist introduced communication adjustments, explaining that correcting his mother or trying to bring her back to reality may increase distress, and suggested validating her emotions and meeting her where she is. Therapist also addressed the importance of boundaries and encouraged client to explore respite care options or involve other family members to share caregiving responsibilities. Homework assigned includes researching respite care options and practicing one of the communication strategies discussed. Client appeared slightly less overwhelmed by the end of the session and expressed a sense of relief in prioritizing his own well-being. The next session is scheduled in two weeks.
SIMPLE Note Example
Helping Someone with Alzheimer's and Dementia
Client navigated the stress and grief of caring for a parent with dementia, including communication strategies and boundaries.
Generated SIMPLE Note:
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Client Session Summary:
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We had a 60-minute office session today. Tom came in looking really worn down and said it's been getting harder and harder to take care of his mom, who has dementia. He said quote 'She's not the same person anymore, and I don't know how to deal with it' unquote. He talked about how his mom's personality has changed so much, she used to be warm and funny, and now she's often confused, sometimes agitated, and she doesn't recognize him some days. He said it feels like he's grieving her even though she's still here, and that makes him feel guilty.
We spent some time talking about how that grief is real and valid. It's called anticipatory grief, and it's completely normal when someone you love is changing due to dementia. I reassured him that it's okay to mourn the person she used to be while also caring for the person she is now. We also talked about the stress of caregiving, he's been doing most of it on his own, and he's exhausted. He said he feels like he can't take a break without feeling guilty.
We worked on some communication adjustments that might help. I explained that trying to correct her or bring her back to reality often just causes more distress for both of them, so instead he can try validating her emotions and going along with where she is.
What else, oh yeah, we talked about boundaries and how he doesn't have to do this alone. I suggested looking into respite care or asking other family members to step up more, because he can't pour from an empty cup. His homework is to research respite care options in his area and to practice one of the communication strategies we talked about. He seemed a little less overwhelmed by the end, like he finally had permission to take care of himself too. We'll meet again in two weeks to check in.
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