SOAP 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 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 50-minute virtual session appearing sad. Client shared that her dad's health is declining, and she has been experiencing overwhelming sadness despite him still being alive. Client stated, "I feel like I'm already grieving him, and then I feel guilty because he's still alive." She described difficulty being present during visits with her dad due to thoughts about his changes and limited time remaining.

Objective:
Session duration was 50 minutes and conducted virtually. Client appeared sad and expressed feelings of guilt and anticipatory grief. Interventions included psychoeducation on anticipatory grief, normalizing her emotional responses, and exploring strategies to stay present while processing grief.

Assessment:
Client is experiencing anticipatory grief related to her father's declining health, which is impacting her ability to be present during visits. Psychoeducation and reframing appeared to alleviate some guilt, as client expressed relief upon learning her feelings are normal. Client engaged well with interventions and demonstrated openness to exploring strategies for meaningful connection.

Plan:
Client will attempt a meaningful visit with her dad this week, focusing on being present and creating small moments of connection. Client will also begin journaling memories and feelings as a way to process grief. Follow-up session scheduled for next week to review progress and address any challenges.

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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More About SOAP Notes:

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