Subjective
The client reported sleeping 4 to 5 hours a night this week and described persistent worry about a performance review on Friday. The client reported practising the breathing exercise on 4 of 7 days. (appears in this excerpt)
Objective
Restless posture observed early in the session; speech slowed and posture settled after the grounding exercise. Engaged throughout. (appears in this excerpt)
Assessment
Partial progress toward the stated goal of reducing work-related anxiety: the client is using the breathing technique between sessions, with sleep still disrupted.
Plan
Continue cognitive restructuring of the review-related thoughts. Homework: thought record on three occasions. Next session in one week.