Intake for Adult

Presenting Problems: John Doe, a 35-year-old male, presented with symptoms of anxiety and depression, which have been persistent for the past six months. He reports difficulty sleeping, lack of motivation, and feelings of hopelessness. He is seeking therapy to address these issues and improve his overall mental health. Relationships: John is currently single and has a supportive network of friends. He maintains a close relationship with his family, who live nearby and provide emotional support. Living Arrangements: John lives alone in a rented apartment. He reports stability in his housing situation and feels comfortable in his living environment. Education/Employment: John holds a bachelor's degree in marketing and is currently employed as a marketing manager. He expresses satisfaction with his job but mentions occasional work-related stress. Physical Health: John is in generally good physical health, with no chronic conditions. He exercises regularly and follows a balanced diet. Mental Health History: John has a history of mild depression during his college years, for which he received counseling. He has not been hospitalized for psychiatric reasons and is not currently on any medication. Treatment Goals: John aims to reduce his anxiety and depressive symptoms, improve his sleep patterns, and enhance his overall quality of life. He is also interested in developing better coping strategies for stress. Additional Notes: John is open to exploring mindfulness techniques and cognitive-behavioral strategies as part of his therapy. Initial Impressions: The therapist notes that John appears motivated and engaged in the therapeutic process. He presents with symptoms consistent with generalized anxiety disorder and mild depression. Plan for Next Session: The next session will focus on exploring John's thought patterns and introducing cognitive-behavioral techniques. Homework will include keeping a daily journal to track mood changes and triggers.