Please write a S.O.A.P. style progress note for the following clinical session:
A 22-year-old nonbinary, Latinx college senior named Jordan arrives 10 minutes late for their intake appointment. Jordan apologizes several times and explains that they have been struggling to sleep and have missed multiple morning classes over the past month. Jordan reports feeling “constantly anxious” about graduating and finding a job and says they have recently stopped attending social events because they feel “exhausted and overwhelmed.”
Jordan speaks softly and avoids eye contact but is cooperative and engaged. They report sleeping about 4–5 hours per night, difficulty concentrating, and a decreased appetite. They deny suicidal ideation or self-harm. Jordan shares that they previously enjoyed exercising and spending time with friends but have lost motivation for either activity in recent weeks.
When you inquire about Jordan’s family, they say, “That’s a bit complicated right now.” They elaborate that they were recently “outed” as nonbinary to their family by a trusted family friend. Jordan says that their two siblings have both been supportive since learning about the shift in how Jordan views their gender identity. However, they report feeling “awkward” with their parents since being outed. During a recent visit to campus, their father did not acknowledge their gender identity and seemed “distant,” which Jordan says is uncharacteristic of him. Their mother reportedly said, “I don’t really understand why my daughter feels the need to be so public about something silly like pronouns” and “It’s just a phase you’ll probably outgrow.”
Jordan states that they want help “getting back on track” before graduation. They also express interest in learning coping strategies for stress and anxiety.