Scribd Logo
Upload

Welcome to Scribd!

  • 98 views

    (Client's Self-Report of Problems, Progress) :: Elim Home

    Uploaded by

    Kymberley Gillespie Andrews
    The document contains progress notes from a counseling session. It includes sections for symptoms, assessment, and a treatment plan. The client's attitude was cooperative and affect was appropriate. Strengths included insight and accepting feedback, while limitations were distrust and lack of social skills. The treatment plan focused on an unspecified problem, with goals of progress and achieving objectives. The client was referred to outpatient weekly counseling.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    (Client's Self-Report of Problems, Progress) :: Elim Home

    Uploaded by

    Kymberley Gillespie Andrews
    98 views1 page
    The document contains progress notes from a counseling session. It includes sections for symptoms, assessment, and a treatment plan. The client's attitude was cooperative and affect was appropriate. Strengths included insight and accepting feedback, while limitations were distrust and lack of social skills. The treatment plan focused on an unspecified problem, with goals of progress and achieving objectives. The client was referred to outpatient weekly counseling.

    Original Title

    Progress Notes

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document contains progress notes from a counseling session. It includes sections for symptoms, assessment, and a treatment plan. The client's attitude was cooperative and affect was appropriate. Strengths included insight and accepting feedback, while limitations were distrust and lack of social skills. The treatment plan focused on an unspecified problem, with goals of progress and achieving objectives. The client was referred to outpatient weekly counseling.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    98 views1 page

    (Client's Self-Report of Problems, Progress) :: Elim Home

    Uploaded by

    Kymberley Gillespie Andrews
    The document contains progress notes from a counseling session. It includes sections for symptoms, assessment, and a treatment plan. The client's attitude was cooperative and affect was appropriate. Strengths included insight and accepting feedback, while limitations were distrust and lack of social skills. The treatment plan focused on an unspecified problem, with goals of progress and achieving objectives. The client was referred to outpatient weekly counseling.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Progress Notes

    Client: Session # Time: 30/45/60/90


    Date: Location: Elim Home
    S-symptoms, (Client’s self-report of problems, progress): ATTITUDE: Cooperative, Hostile,
    Open, Secretive, Evasive, Bored,
    1) Suspicious, Apathetic, Easily
    distracted, Focused, Defensive.
    2) AFFECT: Bright, Blunted, Flat,
    Exaggerated, Appropriate or
    3) Inappropriate, Stable, Labile
    MOOD: happy, sad, despondent,
    4) Bible Verse: melancholic, euphoric, elevated,
    5) depressed, irritable, anxious, angry,
    euthymic

    A-assessment, Signature: William B Andrews, Jr


    Strengths Limitations Progress Social Motivation Relapse Client URICA Suicidal or Strongholds
    Rating Support prognosis Profile Homicidal
    Insight Lacks Insight No change POOR LOW POOR HI/LC (PC) Yes Denial
    Confident Distrustful Progress FAIR AVG FAIR HI/HC (C) S/H Displacement
    Clear Defensive Regression GOOD HIGH GOOD LI/LC (A) No Intellectualization
    Thinking Defiant LI/HC (M) Projection
    Accepts Lacks Social Drug of Spiritual Approach Spiritual False Belief Attachment Session Rationalization
    Feedback Skills Choice foundation Growth Styles Goals/meet Minimization
    Expressive/ Impulsive Alcohol Protestant Prophet Chair 1 Failure Secure Yes Regression
    Articulate Resistive Cocaine Priest Chair 2 Rejection Avoidant Repression
    Catholic
    Physically Poor Health Pre-Drugs Cult Chair 3 Punishment Anxious- No Sublimation
    Healthy Noncompliant Sex/other Chair 4 Shame ambivalent Suppression
    Other
    P-plan,(Next Session: Focus of Treatment: Problem: Goal: Objective: Axis I:

    Axis II:
    Homework, (completed Y/N, NA) ( Assign: Y/N ): Exercise:
    GAF:
    Recommended level of care: Inpatient, Outpatient intensive; Outpatient weekly; Self care @Home
    Referrals: ( education, vocational, counseling, spiritual, housing, medical)
    Client: Session # Time: Time:
    30/45/60/90
    Date: Location: Elim Home
    S-symptoms, (Client’s self-report of problems, progress): Focus of Tx: ATTITUDE: Cooperative,
    Problem: Hostile, Open, Secretive,
    1) Evasive, Bored, Suspicious,
    Goal: Apathetic, Easily distracted,
    2) Focused, Defensive.
    Objective: AFFECT: Bright, Blunted,
    3) Flat, Exaggerated, Appropriate
    4) Bible Verse:
    or Inappropriate, Stable, Labile
    MOOD: happy, sad,
    5) despondent, melancholic,
    euphoric, elevated, depressed,
    irritable, anxious, angry,
    A-assessment, Signature:_ William B Andrews, Jr._________________________ euthymic

    Strengths Limitations Progress Social Motivation Relapse Client URICA Suicidal or Strongholds
    Rating Support prognosis Profile Homicidal
    Insight Lacks Insight No change POOR LOW POOR HI/LC (PC) Yes Denial
    Confident Distrustful Progress FAIR AVG FAIR HI/HC (C) S/H Displacement
    Clear Defensive Regression GOOD HIGH GOOD LI/LC (A) No Intellectualization
    Thinking Defiant LI/HC (M) Projection
    Accepts Lacks Social Drug of Spiritual Approach Spiritual False Belief Attachment Session Rationalization
    Feedback Skills Choice foundation Growth Styles Goals/ meet Minimization
    Expressive/ Impulsive Alcohol Protestant Prophet Chair 1 Failure Secure Yes Regression
    Articulate Resistive Cocaine Priest Chair 2 Rejection Avoidant Repression
    Catholic
    Physically Poor Health Pre-Drugs Cult Chair 3 Punishment Anxious- No Sublimation
    Healthy Noncompliant Sex/other Chair 4 Shame ambivalent Suppression
    Other
    P-plan,(Next Session: Focus of Treatment: Problem: Goal: Objective: Axis I:

    Homework, (completed Y/N,NA) ( Assign: Y/N ) Exercise: Axis II:

    GAF:
    Recommended level of care: Inpatient, Outpatient intensive; Outpatient weekly; Self care @Home
    Referrals: ( education, vocational, counseling, spiritual, housing, medical )

    You might also like