Prompt Detail:
Please use the following findings to create a SOAP note. Ms. A. "feels the same". States depressive symptoms slightly improved; still feels "sad." Troubled sleep, but "sleep quality is improving" and getting "5 hours sleep per night" Expresses anxiety during session. Worried about daughter. Alert. Mood is unstable but improved slightly, and she is improving her ability to regulate her emotions. Ms. A. has major depressive disorder. Will continue taking 20 milligrams of sertraline per day. Will consider titrating the dose up to 40 mg. Continue outpatient counseling.
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