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J.R. — session note

Tuesday, June 23, 202634F41.1SignedDrafted in 43s
Signed & locked
AI draftdrafted by LumenYour editsadded or revised by you
S

Subjective

AI draft — unedited

Calm start to the week; anticipatory worry returned before a client presentation. Used breathing before the meeting.

O

Objective

AI draft — unedited

Engaged, oriented x4, affect congruent. Mild fidgeting when discussing evaluation scenarios.

A

Assessment

AI draft — unedited

Anxiety trending down; exposure hierarchy step 3 completed without avoidance.

P

Plan

AI draft — unedited

Continue weekly CBT. Step 4 of hierarchy next week. Maintain thought records.

Dr. Maya Okafor, PsyD

Electronically signed June 23, 2026 at 11:00 AM · v2 locked · audio deleted

Lumen never suggests diagnoses. Assessment language and clinical judgment always come from the signing clinician.

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