Client Daily Progress Note
Client Name
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First Name
Last Name
Start Time
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Minutes
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PM
AM/PM Option
End Time
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Month
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Day
Year
Date
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Minutes
AM
PM
AM/PM Option
Type of Interaction
Community
HAB
Residential
Client Assessment
Client Presentation
Oriented/Alert
Disorganized
Tangential
Preoccupied
Circumstantial
Not Assessed
Resting
If Not Assessed, why?
Mood
Euthymic
Depressed
Dysphoric
Anxious
Angry
Euphoric
Stable
Not Assessed
Interpersonal
Interactive
Guarded
Withdrawn
Hostile
Functional Status
Intact
Impaired
Progressing
Digressing
Variably Impaired
Not Assessed
Assessment and Observations
Safety & Medical Issues
Safety Issues
None
Suicidal Ideation
Homicidal Ideation
Client has
Intent to act
Plan to act
Means to act
Describe Medical Issues
Medication Issues
Yes
No
Explain
Subjective / Objective
Subjective Report
Feels depressed
Feeling anxious
Lack of motivation
Sleeping too little
Sleeping too much
Issues with partner
Feels overwhelmed
Feels directionless
Feels better overall
Feels worse overall
Issues at work
Issues at home
Parenting issues
Feels stressed
Less conflict
Improved Intimacy
Decreased intimacy
Improved communication
Fighting less
Communication worse
Maintaining progress
Still feels stuck
Communication same
Mood swings
Mood swings better
Mood swings worse
Anxiety decreasing
Feels self-conscious
Anger issues
Feeling grief and loss
Lack of focus/organiz.
Sleep is better
Getting more exercise
Feels more secure
More self-confident
Increase in motivation
Defeating self-talk
De-escalating fights
Increased understanding of partner
Better work/home balance
Better self-care
Difficulty breaking patterns
Observations
Seems depressed
Seems anxious
Lack of motivation
Sleeping too much
Issues with partner
Seems overwhelmed
Seems better overall
Seems worse overall
Seems stressed
Improved intimacy
Decreased intimacy
Communicat. improved
Fighting increased
Fighting less
Communication worse
Maintaining progress
Mood swings better
Mood swings worse
Anxiety decreasing
Seems self-conscious
Anger issues
Moving through grief
Lack of focus/organiz.
Seems more secure
More self-confident
Increase in motivation
Defeating self-talk
Better self-care
Committed to therapy
Increased understanding of partner
Better work/leisure balance
Becoming isolated
Continues to blame others
Taking more responsibility for emotions
More awareness of internal dialog
Breaking self-defeating patterns
Difficulty breaking patterns
Establishing better boundaries
Comments
Interventions
Interventions
Cognitive Challenging
Cognitive Refocusing
Cognitive Reframing
Communication Skills
Compliance Issues
Expl. Relationship Ptrn
Expl. Coping Patterns
Explore Emotions
Guided Imagery
Interactive Feedback
Interpersonal Res.
Mindfulness Training
Preventative Services
Psycho-education
Relaxation Techniques
Review of Progress
Role Play
Problem Solving
Supportive Reflection
Symptom Mgt
Somatic Exercises
EMDR
Active Imagination
Dream Exploration
DBT
Mirroring
Homework
Progress
Improved
Progressing
Maintained
No progress
Regressed
Variable
Not addressed
Notes
Signature
Clear
Submit
Should be Empty: