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Question: i need a social work processing recording for a patient receiving mental health counseling
Sure, here's an example of a social work processing recording for a patient receiving mental health counseling: Date of Session: August 1, 2021 Client's Name: John Doe Demographic Information: Age: 35 Gender: Male Ethnicity: White Marital Status: Single Employment Status: Unemployed Education Level: High School Graduate Presenting Problem: John reported feeling anxious and depressed. He stated that he has been struggling with his mental health for the past several years, and it has gotten worse since losing his job six months ago. Goals of the Session: 1. Provide support and validation for John's feelings and experiences 2. Explore John's current coping strategies and identify any areas where he could benefit from additional support or resources 3. Develop a plan for addressing John's immediate mental health needs and connecting him with ongoing care Session Observations: John appeared visibly upset throughout the session. He was wringing his hands and fidgeting in his chair. He often looked down and spoke in a quiet tone. Session Discussion: During the session, John shared that he feels hopeless and helpless. He reported that he has been having suicidal thoughts and has been struggling with substance abuse. We discussed safety planning and made a plan for what John can do if he experiences a crisis or feels unsafe. We also talked about John's coping strategies, which include spending time with friends and family, watching TV, and using substances. We discussed the potential risks and benefits of his current coping strategies and identified some new coping skills he could try, such as mindfulness exercises and relaxation techniques. Finally, we developed a plan for John to connect with ongoing mental health care. I provided him with a list of community resources and encouraged him to schedule an appointment with a mental health professional. We also discussed the possibility of medication management and I encouraged John to speak with his doctor about that option. Session Follow-Up: I will schedule a follow-up appointment with John in two weeks to check in on his progress and discuss any additional needs or concerns. I will also provide him with a list of crisis hotlines and encourage him to call if he experiences a crisis between now and our next session.
March 21, 2023, 7:21 p.m.
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