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Question

Evaluating SOAP Notes

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 

Expert Solution

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.

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