Group Notes
All names have been changed to preserve the confidentiality of clients.
SOAP Notes 1
Name: Sam
Date: July 9, 2009
S- Sam said he does not understand what it means to be stress physically or emotionally or how learning these things relate to him. He did state that when angry he “punches things and cusses.” He said he does not get why it is a problem to act that way. Sam says he does not want to share comments with the group.
O- Sam was partnered up with me to discuss what happens when we are stress. He has a difficult time understanding what stress is and why it is harmful to peace in life. In the group he is quite, reserved, and disengaged. Records show that Sam has ADD. He also has a history of tantrums when he does not get his way (a cause of stress). He is very inflexible and often shows signs of stress such as clenched fists, cussing, kicking the ground, etc.
A – Sam says he has a difficult time understanding what stress is and why it is harmful to peace in life. This maybe what is going on or it may be that he is not interested in the activity and does not want to be involved, as seen by his laying on the ground, sharing very little with me and no thoughts of what makes him stressed with the group.
P- Start where the client is. Continue to work with him through the week in understanding these concepts through visual and verbal teaching.
S- Jessica Williamson, BSWI
SOAP Notes 2
Name: Suzie Que
Date: July 9, 2009
S- Suzie shared that she gets stressed often. She said, “the best way I can handle it is by riding my horse or at least sitting in between his front legs”. Suzie says she has a hard time out here because she does not have her horse, although she sometimes imagines she does.
O- Suzie often gets stressed and upset and takes it out on others. People do not want to be around her when she is like that. Suzie depends on what others think. She has a history of a low stress threshold.
A-There is a cycle to that Suzie is in when stressed. She becomes stressed, and takes it out on others. Others do not like her when she acts that way. When Suzie feels she is not liked her stress increases. Suzie needs to learn other techniques to assist her when stress and does not have a horse available.
P-Brainstorm and teach Suzie (and the whole group) more ways she can reduce her stress so that she does not feel she has to take it out on others around her.
S- Jessica Williamson, BSWI
