SOAP Progress (Family)

Client Information: - Family Members: John, Mary, and Sarah - Provider Name: Dr. Emily Carter - Date of Service: 1 November 2024 - Session Duration: 60 minutes Subjective: John expressed feeling overwhelmed by his family’s expectations, stating, “I feel like I can never meet their standards.” Mary, his mother, mentioned that she has noticed John withdrawing from family activities, saying, “He spends most of his time alone in his room.” Objective: John avoided eye contact with his parents during most of the session. His mother became visibly emotional when discussing family traditions, and Sarah, his sister, frequently glanced at John for reassurance. Assessment: John’s withdrawal appears to be linked to a fear of disappointing his parents. He noted feeling depressed for several days, anhedonic, lethargic, and sleeping more than usual. This therapist utilized circular questioning from systemic family therapy to encourage family members to think about their shared connections. The family’s willingness to discuss sensitive topics indicates a growing level of trust. Plan: Next session, we will explore John’s interests and work on setting boundaries. Recommend family members practice active listening techniques at home. Follow up in 1 week.