Dr. Elena Reyes, LCSW
Reyes Counseling · solo practice
Tuesday · 2 sessions today
Good morning, Dr. Reyes.
Everything from your clients’ week is already sorted. Here’s what matters.
Companion income · this month
$812 passive
26 of 34 clients · +$96 vs last month
Earnings detail →
Pre-session recap · under 3 minutes
Next up · in 2 daysMaya Alvarez
GAD · session 6 · CBT (thought records)
Maya used her companion 4 times since you last met. She completed the three-column thought record after a hard moment at work and reframed a catastrophic thought on her own. Homework adherence is up; no crisis flags this week.
PHQ-9
8
↓ 3
GAD-7
9
↓ 2
Homework
3 / 3
on track
Walk in knowing
Open on the win: she caught the “I’ll get fired” thought and tested it herself. Bridge into behavioral activation for the weekend — she flagged Sunday evenings as the hardest.
Draft SOAP note
auto · review to signGenerated from last session + this week’s companion work.
- S
- Client reports a stressful work event; used thought record independently to reframe a catastrophic prediction. Sleep improved.
- O
- Engaged, brighter affect vs. session 5. Completed 3/3 assigned exercises between sessions.
- A
- GAD, improving. PHQ-9 8 (↓3), GAD-7 9 (↓2). Cognitive skills generalizing to real-world triggers.
- P
- Introduce behavioral activation for Sunday-evening dread; continue thought records; reassess screeners in 2 wks.
Your sounding board
for you · not the noteReflective, evidence-anchored. Never prescriptive.
What worked. You let Maya find the reframe herself instead of offering it — that’s why it’s generalizing. Textbook Socratic method.
One alternative. For the Sunday dread, the evidence base leans on behavioral activation before more cognitive work — scheduling a valued activity may move it faster than another thought record.
For next time. A quick values check-in could anchor the activation and keep her ahead of the anticipatory spike.
Billable-activity log
Time-stamped evidence of your real review time. You bill it — we document it.
22 min
this week · Maya A.
- Mon 9:12aReviewed companion thought record6m
- Wed 8:40aReviewed screener results + flagged trend4m
- Thu 5:05pAdjusted care plan · behavioral activation7m
- Fri 8:55aReviewed homework completion + notes5m
Confirm codes with your biller. QuezBridge is never the billing entity.
Open documentation packet →Your roster
Sorted by who needs you — not alphabetically.
- on track
Maya Alvarez
Thought record done · trending up
- watch
James Okafor
Companion quiet 5 days · gentle nudge sent
- review
Priya Nair
GAD-7 crossed threshold · review flagged
- on track
Devon Wright
Homework complete · steady