GIRP Note Example 1: Anger management (adult)
Adult client working on a treatment plan goal to reduce angry outbursts.
- Goal
- Target treatment plan Goal #2: Client will identify and utilize 3 healthy coping strategies for managing anger episodes, reducing outbursts from 5x/week to 1x/week within 90 days. Current baseline: 3 outbursts per week (down from 5 at intake).
- Intervention
- Reviewed client's anger log from the past week, identified 2 outbursts and 4 instances of successful coping. Applied CBT anger management protocol: examined trigger-thought-emotion-behavior chain for each outburst. Practiced STOP technique (Stop, Take a breath, Observe, Proceed) through role-play of workplace conflict scenario. Introduced progressive muscle relaxation as additional coping tool.
- Response
- Client demonstrated strong engagement with the STOP technique during role-play, successfully de-escalating simulated conflict in 2 of 3 scenarios. Was able to identify cognitive distortions ("they're doing this on purpose") contributing to anger escalation. Required prompting to apply PMR but reported noticeable tension reduction after practice. Expressed motivation to add STOP technique to existing coping repertoire.
- Plan
- 1. Continue weekly sessions targeting anger management goal. 2. Client to practice STOP technique daily and log outcomes. 3. Continue anger diary: track triggers, intensity (1-10), and coping strategy used. 4. Introduce assertive communication skills next session. 5. Reassess goal progress at 60-day treatment plan review. Next session: 1 week.