A concentrated soap note to treat anxiety, ptsd and ocd
The goal of the second session would be to build a closer relationship with my patient. I would take more time explaining my role and listen to him. Also, I encourage him to expand on the issues he mentions, like his eating and sleeping habits.
I can create a care plan that is tailored to his specific needs by understanding the issues more deeply. This will help us build a stronger connection. My next intervention, if I had the opportunity to speak with him again, would be to create an individual treatment plan that is based on our conversation and addresses both his immediate needs as well as looking ahead for long-term success.