sample therapy session notes with the presenting problems, goals, client response, intervention and the plan moving forward for a client who stated her pregnancy is draining her but was excited about her recent purchase of a new car and being approved for an apartment she shared how she has been able to sleep better without waking up with pain now that she has started taking her insulin shots she stated her mother in law is still causing drama and creating confusion and that she wants to move and get away from h er mother in law and now she is having issues with her older sister she says her mom treated her and her siblings differently and she feels she was treated as the black sheep because of her disabiltiy of being hearing impaired and was always left out she says she feels she got the worse of it than her siblings and she wants to heal from it and not put her kids through it says she yells at her son and wants a different approach other than yelling