Uploaded by ilovekids

Note

advertisement
PROGRESS NOTE
Goal:
Client report:
Client status: presently there are no safety issues. Client's speech, eye contact, and behavior were
appropriate. Client's mood was euthymic, and affect was full. No observed cognitive impairments;
oriented x4; no memory impairments; attention was normal. No observed perceptual impairments; no
hallucinations; no derealization or depersonalization. No delusional thoughts. Behavior was cooperative,
and engaged. symptoms have
Intervention: Client received person centered therapy; processed emotions; reviewed coping skills to
manage symptoms.
Progress: Clt used the following coping skills:
Plan: clt plans to
important:
Accomplished:
Observation/Suggestion:
Skills—
Check from last time-Check next time—
Tried:
Empathy statements:
Self
Value
Struggle
People—Fam
s/o
Friends
others
Client declined in person appointment so session was conducted via Zoom. Current
symptoms/needs/agenda are being managed by tele-health. If status changes, client will contact this
clinician to discuss prior to future appointments.
Download