Treatment Plan
Sarah Mitchell Created: Sep 18, 2025 Last Review: Feb 26, 2026 Next Review: May 26, 2026
Diagnoses
F33.1 - Major depressive disorder, recurrent, moderateF41.1 - Generalized anxiety disorder
Presenting Problems
Client presents with recurrent moderate depression characterized by sleep disturbance, low motivation, social withdrawal, and persistent feelings of worthlessness. Concurrent generalized anxiety exacerbates depressive symptoms and interferes with daily functioning.
Strengths
Strong marital support systemMedication compliantEmployed full-timeInsight into depressive patternsMotivated for treatment
Symptom Reduction
Client will reduce PHQ-9 score from 16 (moderately severe) to below 10 (mild) within 6 months
Target: Mar 18, 2026
55%
in-progress
Complete behavioral activation schedule 5 of 7 days per week
Achieve 6+ hours of sleep per night for 2 consecutive weeks
Attend 1 social activity per week outside of work
Coping Skills
Client will develop and consistently use 3 evidence-based coping strategies for managing depressive episodes
Target: Jun 18, 2026
40%
in-progress
Demonstrate cognitive restructuring in session for negative automatic thoughts
Implement sleep hygiene protocol nightly
Signatures
Client
Sarah Mitchell
Sep 18, 2025
Therapist
Dr. Rachel Morrison, PhD
Sep 18, 2025