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 office session and initially discussed work-related stress, particularly around a project deadline. Client appeared distracted and later expressed anxiety about the possibility of sessions being recorded or overheard, stating, "I just need to know, are we being recorded right now? Is anyone else hearing this?" Client shared that this concern had been bothering him for a couple of weeks but was unsure how to bring it up. He emphasized the importance of trusting the privacy of the therapy space.
Objective:
50-minute office session. Client appeared distracted initially, glancing around during the session. Client became visibly relieved after receiving reassurance about session privacy and confidentiality. Client appeared more present and engaged after discussing his concerns.
Assessment:
Client demonstrated progress in addressing his anxiety about session privacy, which appeared to improve his ability to focus on discussing work-related stress. Client responded positively to reassurance and validation, which supported his trust in the therapeutic process.
Plan:
Client is scheduled for a session next week at the same time. Therapist will continue to explore work-related stress and address any additional process-related concerns as they arise to support the client's sense of safety and engagement in therapy.
We had a 50-minute office session today. Chris came in and we started talking about how work's been going, some stress around a project deadline, pretty normal stuff. He seemed a little distracted though, kept kind of glancing around. About halfway through he asked if he could ask something about how this all works, and I said of course.
He told me that some of his friends have been in therapy and mentioned their therapists record sessions or use AI tools to take notes, and it's been making him anxious. He said quote 'I just need to know, are we being recorded right now? Is anyone else hearing this?' unquote. I could tell it was really bothering him. I reassured him that no, our sessions are completely private, nothing is recorded, I don't use any AI tools or recording devices during our time together. I explained that I take notes by hand after sessions, just the key points I need to remember, and those are kept confidential in his file. I told him that's a personal commitment I've made in my practice, to keep the therapy space as private and human as possible.
He looked so relieved. He said he'd been worrying about it for a couple weeks but didn't know how to bring it up. We talked about how it's totally reasonable to ask questions about privacy and how the process works, and that he should always feel comfortable doing that. He said he just needed to know he could trust that this space is really just between us. I validated that and told him he can ask me about any of this stuff anytime.
After that we got back to talking about the work stress, and he seemed a lot more present. Sometimes these process questions are just as important as the content. We wrapped up and scheduled for next week, same time.
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