Problem:
The SOAP note captures several important elements of Ty's case but also leaves room for improvement. The subjective section of the SOAP note does well in capturing Ty's initial impressions of the group and his disclosure of his struggles with PTSD, anger, and stress within his marriage. It provides a good foundation for understanding what Ty perceives as his primary issues, which is crucial for a social worker to tailor future interventions. However, the subjective section could benefit from a deeper exploration of Ty's feelings regarding his wife's isolation as an immigrant. How does this impact their relationship? Additionally, more details about his alcohol use would be helpful, such as how often he drinks and under what circumstances. This would provide a clearer picture of his self-medication patterns. The note objectively documents Ty's presentation as anxious and guarded, while also acknowledging his PTSD symptoms. Want Professional Help?