School Counseling Progress Note
Student
First Name
Last Name
Modality
Please Select
Individual
Family
Group
Consultation
Parent consult
Teacher consult
IEP meeting
Peer Mediation
Meeting: Type
Other
Treatments
Interpretation
Behavioral
Homework Given
Family Meeting
Relationship
Role Play
Problem Solving
Reframing
Psychoeducation
Provide Alternatives
Confrontation
Interventions Techniques
Limit Setting
Exploration of thoughts/feelings
Facilitated expression
Encouraged participation
Support/Empathy
Validation
Reflection
Building Trust
Faciliated Play
Contracted
Other
Themes Discussed
Relationship(s)
Work problems
School Problem
Substance Related Issues
Childhood/Family of Origin
Identity/Role
Dreams
Parenting
Other
Topics Discussed
Gender Identity
Behavior Modification
Problem Solving
Self-Esteem
Stress/Relaxation
Conflict Resolution
Grief Loss
Good Touch/Bad Touch
Social Skills
Feelings Discussed
Life Skills
Coping Skills
Patience/Tolerance
Personal Boundaries
Trust Building
Connections:Thoughts, Feelings, Actions
Communication
Anxiety
Anger management
Theme of Session/Topic/Treatment Goal:
Notes/Summary
Response to Intervention
Rows
Very Good
Good
Somewhat Good
Poor
Level of Trust/Counseling Relationship
1
2
3
4
Level of Skill Acquisition
5
6
7
8
Level of Acceptance of Responsibility for Behavior
9
10
11
12
Level of Responsiveness
13
14
15
16
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