NoteSono output
SOAP format
CBTS — Subjective
The client reported experiencing two panic attacks during the week, both occurring in supermarket environments. The client described accompanying physical symptoms and significant anticipatory anxiety about future episodes.
O — Objective
The client presented as engaged and motivated. Affect was anxious but the client demonstrated good capacity for cognitive reflection. No safeguarding concerns or risk factors were identified at this time.
A — Assessment
Using the CBT cognitive model, the client and therapist identified a core catastrophic cognition: "I am going to faint and everyone will see." The client rated belief in this thought at 80% prior to cognitive restructuring and 40% following completion of a thought record, indicating meaningful progress in challenging automatic negative thoughts.
P — Plan
The client agreed to complete a thought record independently when anxiety arises before the next session. The thought record will be reviewed in the following session to assess progress and reinforce the cognitive restructuring process.