Individual Therapy

Co-Sign Pending
Service Date: Mar 2, 2026 CPT: 90834 Duration: 45 min

Patient

Destiny Brooks

Adjustment disorder with depressed mood

Provider

Marcus Webb, LCSW

LCSW

NPI: 2345678901

Needs co-sign: Rachel Morrison, PhD, LPC-MHSP

S

Subjective

Client reports a good week with only one crying episode. Started a new hobby class and reports feeling nervous but excited. Sleeping 7 hours nightly. Appetite normal. States 'I think I am starting to figure out who I am outside of that relationship.'

O

Objective

Session via telehealth. Client appeared bright, with improved affect and spontaneous smiling. Speech animated. Made self-deprecating humor that showed increased psychological flexibility. No safety concerns.

A

Assessment

Significant improvement in adjustment symptoms. Client is transitioning from acute grief response to active rebuilding phase. New social engagement represents important behavioral activation.

P

Plan

Continue weekly therapy. Process identity exploration themes. Reinforce new social connections. Discuss timeline for step-down to biweekly. Next session: 03/10/2026.

Signatures

Signed by Marcus Webb, LCSW

Mar 3, 2026, 12:00 PM

Awaiting supervisor co-signature

Billing Status

Claim ID BIL-012
Payer BlueCross BlueShield of TN
Amount Billed $120
Status Ready
0