Make this note brief "During today's psychotherapy session, J.L., a 34-year-old female diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), Generalized Anxiety Disorder (GAD), Major Depressive Disorder (MDD), and chronic fatigue related to lupus, presented with moderate fatigue that significantly impacted her daily functioning. She reported that her current medication regimen, which includes Modafinil 100 mg for chronic fatigue, Adderall 30 mg IR in the morning and 20 mg IR in the afternoon for ADHD, and Buspirone (Buspar) 10 mg daily for anxiety, has provided some relief. Still, she continues to struggle with persistent symptoms. J.L. expressed feelings of frustration and sadness regarding her chronic fatigue, noting that it exacerbates her depression and anxiety, often leading her to withdraw from social interactions. We explored the cognitive challenges she has been experiencing, particularly with focus and memory, which she attributes to both her ADHD and potential side effects of her medications. Therapeutic interventions focused on cognitive-behavioral strategies aimed at addressing her negative thought patterns and enhancing her coping mechanisms. We discussed the importance of medication adherence and the possibility of consulting her prescribing provider for adjustments if her symptoms do not improve. J.L. engaged actively in the session, demonstrating insight into her behaviors and their impact on her mental health. By the end of the session, we established small, achievable goals for the upcoming weeks, including maintaining a daily activity log to tra