MBP Faith – Phone Call (Session Note)

Contact with [text name="who" default=""]
Mode: [checkbox name="location" value="Phone Consultation|In-PersonTelehealth"]
Clinician: Faith San Diego (Clinical Psychology Registrar)
Referral Type: [checkbox name="referral" value="MHCP|EDTP|Private"]
Present: Faith; [checkbox name="present" value="Mother|Father"] [text name="Name" default=";"] [text name="parentname" default="."]

Discussed in session:
[textarea name="discussion" default=""]

Interventions Provided:
[checkbox name="intervention" value="Discussed DBT-informed diary card information|Socratic questioning|Supportive counselling|Psychoeducation|Parent psychoeducation| Challenging thoughts| Cognitive Restructuring/Reframing|Relaxation and stress reduction|Exposure|Goal setting|Decisional balance|Relapse prevention|Activity scheduling and behaviour activation|Problem solving|Behavioural experiment|Role Playing|Identifying mind states: emotion, reasonable, wise|What skills: observe, describe, participate |How skills: non-judgmentally, focused, effective| Dialectics: identifying extremes, finding middle ground |Distract (ACCEPTS) |Pros and Cons |Urge Surfing |Self Soothe with 5 senses |Improve the moment |Radical acceptance|Identifying goals and barriers |Healthy boundaries |Identifying and challenging myths about interpersonal effectiveness |DEARMAN |GIVE |FAST |Repair relationship (plan and deliver apology) |Observing and Describing emotions |Identify function of emotions |Identify primary and secondary emotions |Opposite action |Taking care of emotions |Look after self (PLEASE) |Problem Solving |Live according to values |Build mastery |Accumulating positive emotions |Mindfulness for positive emotions "]

Treatment plan for next session:
[checkbox name="treatmentplan" value="DBT-informed diary    card|Socratic questioning|Supportive counselling|Psychoeducation|Parent psychoeducation| Challenging thoughts| Cognitive Restructuring/Reframing|Relaxation and stress reduction|Exposure|Goal setting|Decisional balance|Relapse prevention|Activity scheduling and behaviour activation|Problem solving|Behavioural experiment|Psychoeducation|Role Playing|Identifying mind states: emotion, reasonable, wise|What skills: observe, describe, participate |How skills: non-judgmentally, focused, effective| Dialectics: identifying extremes, finding middle ground |Distract (ACCEPTS) |Pros and Cons |Urge Surfing|TIP    |Self Soothe with 5 senses |Improve the moment |Radical acceptance|Identifying goals and barriers |Healthy boundaries |Identifying and challenging myths about interpersonal effectiveness |DEARMAN |GIVE |FAST |Repair relationship (plan and deliver apology) |Observing and Describing emotions |Identify function of emotions |Identify primary and secondary emotions |Opposite action |Taking care of emotions |Look after self (PLEASE) |Problem Solving |Live according to values |Build mastery |Accumulating positive emotions |Mindfulness for positive emotions"]
[textarea name="target" default=""]
Contact with
Mode:
Clinician: Faith San Diego (Clinical Psychology Registrar)
Referral Type:
Present: Faith;

Discussed in session:


Interventions Provided:


Treatment plan for next session:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.5, 10 form elements, 24 boilerplate words, 3 text boxes, 2 text areas, 5 checkboxes, 102 total clicks
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