
Document 1
Progress Note
Documentation Format: DAP
- Date of Service
- 2026-09-14
- Client Name / De-Identified Code
- J.D.
- Diagnosis
- Bipolar Disorders
- Session Duration
- 45 minutes
- Clinician / Staff Name
- Demo Staff
- Discipline
- LSW - Licensed Social Worker
- Documentation Type
- Progress Note - DAP Format / Treatment Plan
- Workstream
- Clinical / Psychosocial Documentation + Treatment Planning
- Payer
- Horizon NJ Health
- County
- Hudson County, New Jersey
Data
J.D. reported increased worry about missing medical appointments because transportation has been unreliable. J.D. stated that a written calendar has helped with remembering appointments but that a backup transportation plan has not been established. J.D. was attentive and engaged while reviewing practical options. Staff provided supportive counseling, problem-solving support, and calendar-based planning.
Assessment
J.D.'s worry appears connected to transportation uncertainty and concern about appointment follow-through. Use of a written calendar is an existing strength. J.D. demonstrated insight into the barrier and willingness to develop a more reliable routine. Continued coping-skills support and care coordination are indicated based on the fictitious source facts.
Plan
- Continue brief supportive counseling and coping-skills practice.
- Review psychoeducation on planning ahead for predictable stressors.
- Identify one primary and one backup transportation option.
- Bring the updated appointment calendar to the next session.