• 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
  Individual Family Group Consultation Parent consult Teacher consult IEP meeting Peer Mediation Meeting: Type 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
• Back

  Next

• Communication
  Communicative Minimal Communication Uncommunicative Distracted Inattentive Attentive Relaxed Slow Tense Anxious Unhappy Happy
  
• Mood
  Elevated Depressed Euthymic (Normal) Behavior Oppositional Defiant Uncooperative Intrusive Poor Eye Contact Noise Sensitive Distrusting
  
• Appearance
  Angry Calm Friendly Flat Sad Downcast Guarded Happy Irritable Well-groomed Casual Groomed Disheveled Under Wt Normal Wt Over Wt
  
• Back

  Next

• 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

• Submit
• Should be Empty: