FAMILY SESSION PROGRESS NOTE: CARIS COUNSELING
CLIENT:
CLIENT:
DATE
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
LENGTH OF SESSION
SESSION NUMBER
MODALITY CLIENT #1
Individual
Family
Group
Consultation
Parent consult
Teacher consult
IEP meeting
Peer Mediation
Meeting: Type
Other
MODALITY Client #2
Individual
Family
Group
Consultation
Parent consult
Teacher consult
IEP meeting
Peer Mediation
Meeting: Type
Other
TREATMENT/INTERVENTIONS
Solution-Focused
Person Centered
REBT
CBT
Hip Hop Therapy
Music Therapy
Biblotherapy
Reminiscence Therapy
Interpretation
Behavioral
Homework Given
Family Meeting
Relationship
Role Play
Problem Solving
Reframing
Psychoeducation
Provide Alternatives
Confrontation
Limit setting
Exploration of thoughts/feelings
Facilitated Expression
Encouraged Participation
Support/Empathy
Validation
Reflection
Building trust
Facilitated play
Contracted
Other:
TREATMENT/INTERVENTIONS
Interpretation
Behavioral
Homework Given
Family Meeting
Relationship
Role Play
Problem Solving
Reframing
Psychoeducation
Provide Alternatives
Confrontation
Limit setting
Exploration of thoughts/feelings
Facilitated Expression
Encouraged Participation
Support/Empathy
Validation
Reflection
Building trust
Facilitated play
Contracted
Other:
SUIDICALITY
NO SI
WISHES TO BE DEAD
IDEAS, NO INTENT
IDEAS & INTENT
NO PLANS
HOMICIDE IDEATIONS
YES
NO HI
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COMMUNICATION
COMMUNICATIVE
MINIMAL COMMUNICATION
UNCOMMUNIVATIVE
DISTRACTED
INATTENTIVE
ATTENTIVE
& RELAXED
& SLOW
& TENSE
& ANXIOUS
& UNHAPPY
& HAPPY
& OTHER
MOOD
ELEVATED
DEPRESSED
EUTHYMIC (NORMAL)
BEHAVIOR
OPPOSITONAL
DEFIANT
UNCOOPERATIVE
INTRUSIVE
POOR EYE CONTACT
NOISE SENSITIVE
DISTRUSTING
APPERANCE
ANGRY
CALM
FRIENDLY
FLAT
SAD
DOWNCAST
GUARDED
HAPPY
IRRITABLE
WELL-GROOMED
CASUAL GROOMED
DISHEVELED
UNDER WT
NORMAL WT
OVER WT
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RESPONSE TO TREATMENT
SAME
WORSE
BETTER
STABLE
RECOVERING
IMPROVING
NONE
MINIMAL
SLIGHT
PARTIAL
INADEQUATE
UNIMPROVED
AGITATED
ASSERTIVE
LABILE
TOPICS/THEMES DISCUSSED
Gender Identity
Behavior Modification
Problem Solving
Self-Esteem
Stress/Relaxation
Conflict Resolution
Grief Loss
Good Touch/Bad Touch
Social SkillsLife Skills
Coping Skills
Patience/Tolerance
Personal Boundaries
Trust Building
Connections:Thoughts, Feelings, Actions
Communication
Anxiety
Anger management
Relationship(s)
Work problems
School Problem
Substance Related Issues
Childhood/Family of Origin
Identity/Role
Dreams
Parenting
Other
RESPONSE TO TREATMENT
SAME
WORSE
BETTER
STABLE
RECOVERING
IMPROVING
NONE
MINIMAL
SLIGHT
PARTIAL
INADEQUATE
UNIMPROVED
AGITATED
ASSERTIVE
LABILE
TOPICS/THEMES DISCUSSED
Gender Identity
Behavior Modification
Problem Solving
Self-Esteem
Stress/Relaxation
Conflict Resolution
Grief Loss
Good Touch/Bad Touch
Social SkillsLife Skills
Coping Skills
Patience/Tolerance
Personal Boundaries
Trust Building
Connections:Thoughts, Feelings, Actions
Communication
Anxiety
Anger management
Relationship(s)
Work problems
School Problem
Substance Related Issues
Childhood/Family of Origin
Identity/Role
Dreams
Parenting
Other
Notes/Summary
Theme of session/Topic/Treatment Goal:
Response to Intervention
Very Good
Good
Somewhat Good
Poor
Level of trust/counseling relationship
Level of Skill Acquisition
Level of Acceptance of Responsibility for Behavior
Level of Responsiveness
Shellie Cheirs, M.Ed, LPC
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