Discharge Summary Note

Start date: [Date]. End date: [Date]. Total sessions: [Number]. Treatment duration: [Months/years].

Initial concerns: [Original problems]. Severity at intake: [Initial assessment]. Impact on functioning: [How it affected life].

Goals established: [List of goals]. Goals achieved: [Accomplished goals]. Goals partially met: [Incomplete goals].

Primary approaches: [Therapeutic modalities]. Specific techniques: [Techniques used]. Client response: [How client responded].

Symptom reduction: [Measurable improvements]. Functional improvements: [Life changes]. Quality of life: [Overall improvement].

Reason for discharge: [Goal completion/other]. Client readiness: [Assessment of readiness]. Relapse prevention: [Plan in place].

Recommended follow-up: [If any]. Crisis plan: [Emergency procedures]. Resources provided: [Community resources].

Start date: January 12, 2025. End date: October 6, 2025. Total sessions: 32. Treatment duration: 9 months.

Initial concerns: persistent worry, panic episodes 2-3 times weekly, avoidance of driving. Severity at intake: GAD-7 score of 16 (severe). Impact on functioning: declined work meetings, restricted driving to a 5-mile radius.

Goals established: reduce panic frequency, return to independent driving, develop worry management skills. Goals achieved: panic-free for 8 weeks, resumed highway driving. Goals partially met: continues mild anticipatory worry before long trips.

Primary approaches: cognitive behavioral therapy with interoceptive and in-vivo exposure. Specific techniques: thought records, paced breathing, graduated exposure hierarchy. Client response: high engagement, consistent homework completion.

Symptom reduction: GAD-7 reduced from 16 to 4 (minimal). Functional improvements: resumed full work duties and independent travel. Quality of life: client self-rates 8/10, up from 3/10 at intake.

Reason for discharge: treatment goals met. Client readiness: demonstrated independent use of coping skills for 2+ months. Relapse prevention: written plan completed in session 31.

Recommended follow-up: booster session available as needed. Crisis plan: client retains crisis line numbers and safety plan. Resources provided: local anxiety support group, self-help reading list.