[comment memo="SUBJECTIVE:"] Counselor met with [text memo="CLT'S NAME"] on this date [select value="per teacher's request|per parent's request|per guidance counselor's request|at school's principal's request|at assistance principal's request|to discussed"] [text memo="description"]. The client reported sleeping [select value="good|fair|poor"], eating [select value="good|fair|poor"]. When asked to rate how things have been over the last week the client reported, [select value="OK|good|bad|"]. When asked to [select value="elaborate|expand|explain|be specific"]. [text memo="CLT'S NAME"] responded not / having difficulties with [select value="teacher|peer|parent|sibling|grades|homework|test|fear of|anger"]
[comment memo="OBJECTIVE:"] [text memo="CLT'S NAME"] was observed [select value="tearful|cheerful|downcast|quiet|tense|fidgety|calm|joyful"]. The client progress has been [select value="minimal|limited |fair|good "] as [select value="evidenced by|manifested by|demonstrated by|"] [textarea memo="DESCRIPTION OF EVIDENCED/FACTUAL INFO" rows="4"]. [text memo="CLT'S NAME"] was [select value="assisted in |demonstrated|encouraged to|guided to|provided to |"] [textarea memo="DESCRIPTION OF INTERVENTION" rows="4"]. The client [select value="reacted well|was resistant|was reluctant|attempted to gain control of the session by|"] [textarea memo="DESCRIPTION OF CLT'S PARTICIPATION" rows="4"].
[comment memo="ASSESSMENT:"] [text memo="CLT'S NAME"] is currently displaying [select value="symptoms of|well managed |moderately managed|poorly managed|"] [select value="depression|anxiety|sleep disturbance|psychosis|anger|cognitive impairment|impulsivity|mood lability|inattentiveness|autism spectrum disorder"] which is [select value="likely caused by|likely exacerbated by|likely the result of |"] [select value="recent changes in family dynamics|unmanaged ADHD|recent loss|interpersonal conflicts|family conflicts|lack of coping skills|lack of study skills|not compliance with psychopharmacological treatment"]
Prognosis is [select value="good|fair |poor"] considering [text memo="CLT'S NAME"] [select value="remains adherence to|actively engages in |is not currently responding to"] medication/therapy to address [textarea memo="DX OR GOALS" rows="4"].
[comment memo="PLAN:"] [textarea memo="WHAT THE CLT WILL DO" rows="4"] [textarea memo="F/U W/; WILL FOCUS ON " rows="4"]