Requires Signature 4
Client presented with moderate anxiety symptoms. Discussed coping strategies including deep breathing exercises and cognitive restructuring techniques...
Follow-up session focusing on depression management. Client reports improved sleep quality since starting sleep hygiene protocol...
Family session with client and spouse. Addressed communication patterns and introduced active listening exercises...
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In Progress 2
Anger management group session. Topics covered: trigger identification, time-out techniques...
Marcus Johnson
Individual Therapy • 90837 (53 min) • January 20, 2026
Reviewed client's anxiety symptoms and triggers since last session. Client identified workplace deadline pressures as primary stressor.
Interventions utilized:
- Cognitive restructuring to address catastrophic thinking patterns
- Introduced 4-7-8 breathing technique for acute anxiety
- Guided imagery exercise focusing on safe place visualization
- Psychoeducation regarding anxiety and the stress response
Client demonstrated understanding of techniques and was able to successfully practice breathing exercise in session with noted reduction in physical tension.
- Continue weekly individual therapy sessions
- Practice breathing techniques daily, minimum 2x/day
- Complete thought log for anxious situations
- Consider sleep study referral if insomnia persists
Next appointment: January 27, 2026 at 11:00 AM