The therapist gathered a history of the clients depressive symptoms, and the client states they have been depressed for about two years when their methamphetamine use increased. The Psychologist will provide client-centered play therapy techniques with the child to help the child work on better identifying and managing emotions. They use stonewalling often to communicate a message, but this method drives them further apart as it doesnt resolve the issue. These issues have been present for varying lengths, resulting in adverse functional effects on the clients life. They have a jelly-like feeling and difficulty finding a comfortable position to relax in, neck pain and muscle issues for some time, and anxiety related to their age and the impact of a recent fall. When writing sample BIRP notes for social work case work, you would use the format of: Behavior, Intervention, Response, Plan. Let us know as we believe other social workers can benefit from your feedback. The therapist can sense that it is difficult for the client to attend therapy and discuss their sexuality. Clear, concise, and accurate therapy progress notes are beneficial to practitioners and their clients. Check if everything is completed properly, without typos or lacking blocks. Example of a Mentalycs Basic Progress Note. Plan:The client is progressing in therapy and will probably need two more sessions to complete their work. The social worker addressed and provided education to the couple about Gottmans Four Horseman of the Apocalypse in session. This GIRP notes section can also include the social workers observations and assessment of the clients response to the intervention. Additionally, the client reports that these nightmares have affected their sleep quality, causing fatigue issues during the day. An example of a PIRP note is included below. Plan:The therapist suggested the client write down their dreams, set up an email forwarding system for all of the Kimble companies, look up alarm clocks that imitate sunrise, be specific when asking for help from his son, use his imagination to explore his feelings, and use imagery to help relax and explore their dream. They have also reported difficulty sleeping and a lack of interest in activities they used to enjoy. As many blended care professionals know, various great practice management systems offer BIRP note templates to speed up the process further.. ICANotes, for example, will integrate pre-written patient data into the Behavior, Intervention, Response, and Plan template along with ICD-10, DSM, or ICD codes.. As the sample below illustrates, therapists . Plan:The therapist and client will meet weekly. The client presents with an anxious presentation.