The session lasted 50 minutes and was conducted virtually. Client appeared sad and expressed concerns about her father's declining health, stating, "I feel like I'm already grieving him, and then I feel guilty because he's still alive." Client reported feeling overwhelmed by sadness and guilt, struggling to be present during visits with her father due to thoughts about his changes and limited time remaining. Therapist discussed anticipatory grief, normalizing it as a natural response to a loved one's serious or terminal illness, and reassured client that grieving in advance does not equate to giving up or wishing for the loss. Client appeared relieved and shared that she had been feeling guilt and believed something was wrong with her for experiencing these emotions. Therapist introduced strategies to help client stay present while honoring her grief, including allowing space for both sadness and gratitude, creating meaningful moments with her father, and journaling memories or feelings. Homework assigned includes attempting a meaningful visit with her father this week focused on being present and starting a journal to process memories and emotions. The next session is scheduled for next week to review progress.
SIMPLE 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.
Generated SIMPLE Note:
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.
Client Session Summary:
Here's the summary of this client session. Remember, Quill does not record the client session. A therapist would provide a summary (like the one below) after the session is over, and then Quill would generate a note similar to the one 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.
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