SOAP Note Example

Internal Family Systems (IFS)

Client explored different internal parts and worked on building Self energy and trust between parts.

Generated SOAP 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.

Subjective:
Client attended a 60-minute office session and presented as frustrated. Client reported a pattern of "exploding" during conflict and feeling terrible afterward, stating, "It's like I'm not even in control when it happens." Client described an intense angry part, referred to as the "protector," which emerges when feeling criticized or attacked. Client identified a younger part beneath the anger, carrying shame from childhood experiences of bullying.

Objective:
Session duration was 60 minutes, held in the therapist's office. Client appeared frustrated at the start of the session. Interventions included exploring the "protector" part and its role, unblending from the angry protector, and connecting with Self energy. Therapist guided client in practicing internal dialogue between Self, the protector, and the younger part.

Assessment:
Client demonstrated progress in identifying and understanding internal parts, including the protector and the younger, exiled part. Client responded well to interventions aimed at unblending from the protector and connecting with Self energy. By the end of the session, client reported a sense of relief and reduced internal conflict between parts.

Plan:
Client is assigned homework to notice when the protector part arises and check in with it from Self, asking what it needs. The next session is scheduled for next week to continue building internal trust and exploring these parts further.

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 60-minute office session today. Marcus came in looking pretty frustrated and said he's been noticing this pattern where he just explodes during conflict, and afterward he feels terrible about it. He said quote 'It's like I'm not even in control when it happens' unquote. We started exploring what was coming up for him in those moments, and he described this really intense angry part that he calls his 'protector.' It shows up whenever he feels criticized or attacked, and it just takes over.

We spent some time getting curious about that protector part, what it's trying to do for him. Marcus realized that it's actually trying to keep him safe, like it learned a long time ago that anger was the best defense. As we dug deeper, he started noticing a younger part underneath all that anger, a part that carries a lot of shame from when he was a kid and got bullied pretty badly. That younger part, the exiled part, has been buried under the protector's anger for years.

We worked on unblending from the angry protector, helping Marcus step back and notice it without being completely taken over by it. I guided him through connecting with his Self energy, that calmer, more grounded part of him, and we practiced having his Self talk to both the protector and the younger part. The protector was really worried that if it stepped back, Marcus would get hurt, so we reassured it that the Self could handle things now. By the end of the session, Marcus said he felt this sense of relief, like these parts weren't fighting each other as much. His homework is to notice when the protector shows up this week and try to check in with it from Self, just asking what it needs. We'll meet again next week to see how it goes and keep building that internal trust.

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More About SOAP Notes:

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