TREATMENT SESSION SUMMARY
Presenting Issue: _____________________________________________
Core Negative Belief: __________________________________________
Core Positive Belief: __________________________________________
Treatment Session (circle one)
First
Prong being addressed (circle one)
Reevaluation Session #______
Past
Present Future
Target of this reprocessing session (circle one)
Touchstone
Worst
Outcome (circle one)
Past (other)
Completed
Present
Future
Unfinished
Stabilization Intervention (circle one)
None
Muscle
Breathing
Container
Calm Place
Client’s Status (circle one)
Unstable
Stable
Excellent
Treatment Notes: ________________________________________________
_______________________________________________________________
_______________________________________________________________
Additional Interventions Planned (non-EMDR/BLS):_____________________
_______________________________________________________________
______________________________________________________________