Client Progress Report

Client Progress Report
Dec 10, 2018
CLIENT INFORMATION
Client Name
Katherine McSherry
Session Date
May 11, 2007 00:00
Type of Session
Item - Client Progress Report Image-1 0
Individual
Service Code
Item - Client Progress Report Image-1 1
90837: Psychotherapy, 60 min
PRESENTATION ASSESSMENT
Client Presentation
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Disorganized
Affect
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Labile
Mood
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Anxious
Interpersonal
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Hostile
Functional Status
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Impaired
Assessment and Observations
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SAFETY & MEDICAL ISSUES
Safety Issues
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Suicidal Ideation
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Homicidal Ideation
Client has
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Intent to act
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Means to act
Describe Medical Issues
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Medication Issues
Item - Client Progress Report Image-1 11
Yes
Explain
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SUBJECTIVE / OBJECTIVE
Subjective Report
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Sleeping too little
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Issues with partner
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Feels directionless
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Feels better overall
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Issues at home
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Less conflict
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Decreased intimacy
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Mood swings
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Mood swings worse
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Anger issues
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Defeating self-talk
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Better self-care
Observations
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Seems depressed
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Issues with partner
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Seems overwhelmed
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Seems stressed
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Decreased intimacy
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Communicat. improved
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Maintaining progress
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Mood swings better
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Increase in motivation
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Increased understanding of partner
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Becoming isolated
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Taking more responsibility for emotions
Comments
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INTERVENTIONS
Interventions
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Cognitive Challenging
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Communication Skills
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Compliance Issues
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Explore Emotions
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Mindfulness Training
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Psycho-education
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Role Play
Homework
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OBJECTIVES & PROGRESS
Objective 1
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Progress
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Maintained
Objective 2
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Progress
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Progressing
Objective 3
Quisque id
Progress
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Regressed
Notes
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Recommendations
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Change Treatment Goals / Objectives
New treatment goals/approach
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New Treatment Frequency
Item - Client Progress Report Image-1 47
Twice per week
Signature
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About this template

A Medical Client Progress Report is a kind of medical record which purpose is to document a patient or client's clinical status and development during the course of counseling. Documenting the treatment and care of a patient is extremely important because this help ensure the physician or the company that the work and care being done is correct. The purpose of a Progress Report is to provide an account of the client or patient's status within their care in order to understand the changes happening whether the client or patient is getting better or worse.

This Client Progress Report for Psychotherapy PDF template provides the essential information that should contain in a clinical psychotherapy report such as the name of the patient, the type of session made with the patient, the date of the session, a comprehensive assessment, and treatment goals and objective for the patient/client. Clone this Client Progress Report PDF Template and modify this PDF template to your preferential layout to save time from creating your own PDF template, or simply use this right away.

Categories
Details
7,816 Clone
Created by
Jotform
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