Sample Notes Critique

Revised SOAP Note with Intentional Errors:

Alex seemed happy today, although he was very energetic. His mother mentioned that he didn’t sleep much last night. During the session, Alex was present for 30 minutes. He mostly played with his toy car and looked briefly at a book. At one point, he hit when asked to transition to another activity.

Overall, Alex seemed to enjoy himself, but he was a bit fidgety. His aggressive behavior is likely due to being tired. The current plan is to stick with the existing behavior intervention plan (BIP), and no changes are needed at this time.