Designed to summarise a session between a mental health clinician and a client using the DARP (Data, Assessment, Response, and Plan) note format.
Each section below outputs a single paragraph of less than six sentences.
Data:
Assessment:
Response:
Plan:
Data:
Mary reported low mood and increased anxiety this week. She described difficulty sleeping and concentration problems affecting work performance. Major stressor was upcoming performance review, triggering worry about job security. Homework thought records completed twice with mixed success. No current suicidal ideation reported, strong family support noted as protective factor.
Assessment:
Mary’s presentation is consistent with generalised anxiety disorder with depressive features. Anxiety maintained by catastrophic thinking about work performance and future uncertainty. She demonstrates good insight but limited application of coping strategies outside sessions. Risk assessed as low with stable support systems. Mary appears stuck in contemplation stage regarding lifestyle changes discussed previously.
Response:
Cognitive restructuring techniques applied to challenge catastrophic predictions about performance review. Mary engaged well and identified alternative perspectives with prompting. She showed emotional relief when reframing worst-case scenarios. Mary expressed frustration about difficulty implementing skills independently between sessions. Motivation appeared moderate with some ambivalence about homework commitment.
Plan:
Mary agreed to complete daily thought records focusing on work-related worries. Plan to continue CBT approach with increased focus on behavioural activation. Next session will review performance review outcome and practice assertive communication skills. No referrals needed at this time. Next appointment scheduled for 22 March 2024 at 2:00 PM.
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