Notes
Completed after a typical session
Counseling FollowUp
Mood
A client denies having suicidality, how would you document this
“Student denied SI.”
833-646-1526 is the number for?
U-Will
The client is giving you some fire quotes in session, what should you do with this.
document them :)
Completed after first initial session with a client
Brief
What you observe
Here at the counseling center we don't provide diagnosis, instead we use
Presenting Concerns
CCAPS are completed every _______ session
4th!
changes in emotions, thinking, and behavior that signal a possible mental health condition
Symptoms!
Completed after completing treatment with a client
Termination
What the client does
Behavior
What is the purpose of a clinical impression?
Hypothesis, Summary, Treatment Plan
A client would like us to talk to their psychiatrist, what do we need first?
an ROI!
A client says they are coming here just to "talk"
How can you make this a treatment goal?
good answer!!!
Supervisor Consult
How the client thinks
Thought Process
What does "SMART" in SMART GOALS stand for?
Specific
Measurable
Attainable
Relevant
Time-Bound
How would you know when a client is ready for a session on medicat
It makes a sound, the color changes
When asking a client what brings them to treatment they say "I'm depressed"
What can be your follow-up to this?
good answer!!!!!
When talking about a case with someone (ROI provided)
Consult Note
What the client thinks about
Thought Content
Affirmed, Assessed, Deesclated, Provided Feedback, Reframed, Utilized, Taught, Identified....
These are
Intervention Terminology
A client just emailed you, you should document this in a
contact note!!!!
A client says then want to work on their anxiety
how can you make this into a SMART goal?
Good answer yo!