SESSION PROGRESS NOTE: COUNSELING
Personal Information
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Length of Session
Minutes
Session Number
Client Progress
Modality Client
Please Select
Individual
Family
Group
Consultation
Parent consult
Teacher consult
IEP meeting
Peer Mediation
Meeting: Type
Other
Treatment/Interventions
Please Select
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
Please Select
No Si
Wishes to be dead
Ideas, no intent
Ideas&intent
No plans
Homicide Ideations
Please Select
Yes
No
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Communication
Communicative
Minimal Communication
Uncommunicative
Distracted
Inattentive
Attentive
Relaxed
Slow
Tense
Anxious
Unhappy
Happy
Other
Mood
Elevated
Depressed
Euthymic (Normal)
Behavior
Oppositional
Defiant
Uncooperative
Intrusive
Poor Eye Contact
Noise Sensitive
Distrusting
Other
Appearance
Angry
Calm
Friendly
Flat
Sad
Downcast
Guarded
Happy
Irritable
Well-groomed
Casual Groomed
Disheveled
Under Wt
Normal Wt
Over Wt
Other
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Response To Treatment
Please Select
Same
Worse
Better
Stable
Recovering
Improving
None
Minimal
Slight
Partial
Inadequate
Unimproved
Agitated
Assertive
Labile
Topics/Themes Discussed
Please Select
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
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
Submit
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