This SOAP note template, presented in a bulleted format, is tailored for psychologists specializing in psychodynamic or object-relations therapy. It offers a systematic method for documenting therapy sessions, emphasizing family dynamics, interpersonal relationships, and boundary-setting. The template assists clinicians in recording subjective experiences, objective observations, clinical assessments, and treatment plans. Perfect for mental health professionals, this template enhances documentation efficiency, ensuring thorough and well-organized notes that support effective therapeutic interventions. Explore s10.ai to adopt this template and elevate your clinical practice.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
SOAP NOTESUBJECTIVE:• The client talked about ongoing family dynamics, particularly tension with their mother and sibling rivalry.• They voiced concerns about their relationship with extended family members, feeling disconnected from cousins.• The client processed emotions about family issues, including feelings of guilt and resentment.• Reflections on personal relationships revealed a pattern of seeking approval from partners.• Discussions about physical intimacy and boundaries highlighted discomfort in setting limits with their partner.• Parenting challenges were addressed, focusing on balancing discipline and affection.OBJECTIVE:• The client was able to engage in productive conversation, showing willingness to explore difficult topics.• Demonstrated moderate insight into personal and family dynamics, recognizing some patterns of behavior.• Showed capacity for self-reflection, though struggled with articulating specific boundaries.• Articulated boundaries with some difficulty, indicating areas for further development.ASSESSMENT:• Family system dynamics characterized by enmeshment and lack of clear boundaries.• Attachment themes identified include anxious-preoccupied attachment style.• Patterns in relationships show a tendency towards dependency and approval-seeking.• Client's progress and growth are evident in increased awareness of personal patterns, though boundary-setting remains a challenge.PLAN:• Continued exploration of specific themes such as dependency and approval-seeking.• Processing of family dynamics and their impact on current relationships.• Development of communication strategies to improve assertiveness.• Support for boundary-setting through role-playing exercises.• Consideration of additional therapeutic exercises or techniques, such as mindfulness practices.
Key advantages of using this template in clinical practice
Common questions about this template and its usage