This assignment should be completed only after you have posted the video in Week 5 Assignment 1: Therapeutic Video Case Self-Injurious Client.

Instructions

Your reflection should address all of the following questions with between 750 to 1,000 words. Appropriate spelling, grammar, and punctuation are required. Complete sentences are expected. All writing should be in your own words. Use APA references as needed to support your ideas; there is no requirement on the number of references to include. Be sure to use APA format.

• Which skills did you use in the session? How?
• How did the assigned Corey readings, PowerPoints, handouts, and videos inform your therapy session? Please explain in detail.
• What were your strengths in the interview?
• What were your weaknesses/areas in need of further development in the interview?
• How could you improve your interviewing skills? Are there steps you plan on taking? What are those steps?
• Was there any time when you felt stuck or uncertain how to respond? Describe what was happening then. Were there times you felt more confident in your responses with the client? Times you were less confident? How? Does this come through in the session?
• How were you impacted by the client… your emotions, thoughts, physical reactions, transference, and countertransference, body language?
• What was your overall response to the interview? Did you feel connected to the client? Distracted? Disengaged?
• What was the quality of your engagement, your empathy?
• If you were to continue seeing this particular client, what future directions would you take? How would you conceptualize the case and what would be some of your treatment goals? How would you pursue these goals?

In relation to your partner:

• What were your partner’s strengths in the interview?
• What were your partner’s weaknesses/areas in need of further development in the interview?
• How could your partner improve his/her interviewing skills?

SOAP Note:

• Fill in the SOAP note in the template based on your session visit. This should be a follow-up note, as this session was not an initial interview.
• Create a Session Reflection & SOAP Note based on your session with the client.

SOLUTION  

Week 5 Assignment 2 Self Reflections and SOAP Note

Psychiatry/Psychotherapy follow-up SOAP note TEMPLATE

Replace all highlighted sections with your data for the assignment (***insert an APA formatted title page as well)

Follow-up Session SOAP Note

Patient Name:  Stella Jess

MRN:

Date of Service:         01-27-2020

Start Time:                10:00

End Time:                  10:54

Billing Code(s):         90213, 90836

(be sure you include strictly psychotherapy codes or both E&M and add on psychotherapy codes if prescribing provider visit)

Accompanied by:      N/A

CC: follow-up session with new developments of self-harm.

HPI: patient has a history of depression and has been on the Prozac medication to manage her situation.

S- Patient comes in with reports of self-harm and her pain is 2 out of 10, localized to wounds. She verbalizes, “I want to try and kill myself but I’m pretty sure I won’t go through with it.” The patient reports no past serious suicidal attempts and states that she is currently on Prozac medication for depression.…….please click the icon below to purchase full solution at $20