Subjective

Sarah reported increased anxiety related to an upcoming performance review at work. Sleep has been inconsistent — averaging 5 hours on stressful nights. She completed 3 of 5 journaling entries. Mood described as "on edge but functional." No medication changes.

Assessment

Client presents with moderate anxiety symptoms, situational in nature. Affect congruent, thought process linear. No SI/HI disclosed. Engaged in session and receptive to CBT interventions. PHQ-9 score: 11. GAD-7 score: 12.

Plan

Reviewed workplace anxiety triggers and identified catastrophic thinking patterns before meetings. Created action plan with breathing exercises and pre-meeting grounding routine. Assigned journaling exercise (5 entries/week). Next session: June 11, 2026.