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    Affect Phobia Ten Session Outline

    Uploaded by

    Dave Henehan
    This document appears to be a form for summarizing psychotherapy sessions. It includes fields for documenting the session number, date, patient identifiers and diagnoses, target problems, core conflicts, and the main themes and core conflicts addressed in each session. The core conflicts are rated on a 1-10 scale to indicate severity or prominence.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Affect Phobia Ten Session Outline

    Uploaded by

    Dave Henehan
    46 views1 page
    This document appears to be a form for summarizing psychotherapy sessions. It includes fields for documenting the session number, date, patient identifiers and diagnoses, target problems, core conflicts, and the main themes and core conflicts addressed in each session. The core conflicts are rated on a 1-10 scale to indicate severity or prominence.

    Original Description:

    Affect phobia psychology approach

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    This document appears to be a form for summarizing psychotherapy sessions. It includes fields for documenting the session number, date, patient identifiers and diagnoses, target problems, core conflicts, and the main themes and core conflicts addressed in each session. The core conflicts are rated on a 1-10 scale to indicate severity or prominence.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    46 views1 page

    Affect Phobia Ten Session Outline

    Uploaded by

    Dave Henehan
    This document appears to be a form for summarizing psychotherapy sessions. It includes fields for documenting the session number, date, patient identifiers and diagnoses, target problems, core conflicts, and the main themes and core conflicts addressed in each session. The core conflicts are rated on a 1-10 scale to indicate severity or prominence.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Session Number:

    TEN-SESSION SUMMARY FORM


    Psychotherapy Research Program at HMS
    Leigh McCullough, Ph.D. (3/05)

    __1

    __5

    __0

    Session Date:
    Axis I:

    _______

    Axis I:

    _______

    Axis IIA: _______


    Axis IIB: _______

    Patient Name/Initials:

    Axis IIC: _______

    __________________________________________________

    Axis III:
    Axis IV:

    Target Problems: (One to three examples)


    1) ____________________________________________________________

    TP1 Rating:

    2) ____________________________________________________________

    TP2 Rating:

    3) ____________________________________________________________

    TP3 Rating:

    Core Conflict(s):
    1) ____________________________________________________________

    CC1 Rating:

    2) ____________________________________________________________

    CC2 Rating:

    3) ____________________________________________________________

    CC3 Rating:

    4) ____________________________________________________________

    CC4 Rating:

    Sess.

    Date

    MAIN THEME(S) OF SESSION

    CC

    __1
    __2
    __3
    __4
    __5
    __6
    __7
    __8
    __9

    _0
    CC= Core Affective Conflict focused on during session. List predominant affect and rate 1-10. (10= High)

    Rate
    1-10

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