Response Guidelines
Read the posts of other learners and respond to at least two. In each response, evaluate the clinical documentation of your peer. Determine if all the necessary information is in the documentation and, if not, propose how to include the information. Use citations from your readings and research to support your
Learner 1;This response has all the required information for the
clinical documentation. Each section of the SOAP has been addressed with all
the necessary information documented. The learner has made adequate use of
scholarly sources, which they properly cited within the work. The technique
that the clinician will use aims to aid in overcoming interpersonal conflict
from intrapersonal issues (Mutari et al., 2021), making it an appropriate
choice for intervention due to the unique nature of the situation. Additionally,
the clinician has decided to build up on the individual work of the client
regarding gestalt approaches, which is effective as the client is reporting
progress. However, the writer should expound more on the activities to be
undertaken in future therapy sessions to enhance the progress their client is
reporting. Furthermore, the progress in the last section is misplaced and
should be added to the assessment section. Generally, this SOAP is inadequate
clinical documentation that presents significant insights into the client's
case.