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Session Note Format

This document contains session notes from a therapy appointment. It includes sections for recording the patient's mood, medications, risk assessment, agenda items discussed, conceptualizations of problems or goals, interventions or summaries by the therapist, action plans, and notes for the next session.

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Nikita Thapa
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470 views2 pages

Session Note Format

This document contains session notes from a therapy appointment. It includes sections for recording the patient's mood, medications, risk assessment, agenda items discussed, conceptualizations of problems or goals, interventions or summaries by the therapist, action plans, and notes for the next session.

Uploaded by

Nikita Thapa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SESSION NOTES WORKSHEET


PREPARATORY NOTES:

PATIENT NAME: DATE: SESSION#: DIAG./CPT CODE:

MOOD RATING/OBJECTIVE MEASURES (SPECIFY):

MEDS (CHANGES/SIDE EFFECTS/OTHER TREATMENT):

RISK ASSESSMENT (SUICIDAL/SELF-HARM/HOMICIDAL IDEATION):

UPDATE/ACTION PLAN REVIEW/CONCLUSIONS DRAWN:

AGENDA ITEMS:

AGENDA ITEM #1 (PROBLEM OR GOAL):


CONCEPTUALIZATION (AUTOMATIC THOUGHTS/(MEANING/BELIEFS, IF IDENTIFIED)/ EMOTIONS/
BEHAVIORS):

INTERVENTIONS OR THERAPIST SUMMARY:

ACTION PLAN:

AGENDA ITEM #2 (PROBLEM OR GOAL):


CONCEPTUALIZATION (AUTOMATIC THOUGHTS/(MEANING/BELIEFS, IF IDENTIFIED)/ EMOTIONS/
BEHAVIORS):

© 2018. Adapted from J. Beck (2020) Cognitive Behavior Therapy: Basics and Beyond, 3rd edition.
Beck Institute for Cognitive Behavior Therapy • One Belmont Ave, Suite 700 • Bala Cynwyd, PA 19004 • beckinstitute.org
66

INTERVENTIONS OR THERAPIST SUMMARY:


ACTION PLAN:

OTHER ACTION PLAN ITEMS:

SUMMARY/CLIENT FEEDBACK:

THERAPIST’S SIGNATURE:

NOTES FOR NEXT SESSION:

© 2018. Adapted from J. Beck (2020) Cognitive Behavior Therapy: Basics and Beyond, 3rd edition.
Beck Institute for Cognitive Behavior Therapy • One Belmont Ave, Suite 700 • Bala Cynwyd, PA 19004 • beckinstitute.org

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