Elliott Progress Note

Subjective
-[checkbox name="variable_1" value="Client|client's spouse|client's mother|client's father|other family member"] attended session via [select name="variable_1" value="main office|Telehealth"]. Expressed feelings of [text name="variable_1" default="sample text"]. Reported ongoing stressors including [text name="variable_2" default="sample text"]. Experiencing [checkbox name="variable_2" value="an increase|a decrease|no change"] in symptoms of [checkbox name="variable_3" value="anxiety|depression|adjustment disorder|trauma"]. Reported symptoms including [text name="variable_3" default="sample text"]. 
-Utilized [checkbox name="variable_4" value="toys|games|art materials|resources"] including: [text name="variable_4" default="sample text"]. Engagement can be considered [checkbox name="variable_5" value="continuous|discontinuous"] with [checkbox name="variable_6" value="no|some|multiple"] distractions. Significant comments during session include: "[text name="variable_5" default="sample text"]." Participated [checkbox name="variable_8" value="actively|passively"] in session.
-Client reported that therapy has been [checkbox name="variable_7" value="effective|ineffective"] in improving [text name="variable_6" default="sample text"]. 


Objective
-Counselor provided exploration of [checkbox name="variable_9" value="coping patterns|relationships"] and offered supportive reflection of client's expressed emotions.
-Offered psychoeducation about [text name="variable_7" default="sample text"]. 
-Facilitated structured problem-solving for [text name="variable_8" default="sample text"]. 
-Utilized [checkbox name="variable_10" value="non-directive play-based interventions|non-directive arts-based interventions|directive play-based prompts|directive arts-based prompts|exploration of emotions|examination of cognitive distortions|exploration of symptoms"] and provided tracking of themes/content. Themes included [checkbox name="variable_11" value="helplessness/inadequacy|loneliness|aggression/revenge|sensory exploration|confusion|self-esteem/self-worth|fears/anxiety|control/safety/security/protection|good versus evil|nurturing/self-care/healing|anger/sadness|death/loss/grieving|trust/betrayal|mastery/competency"]. 
-Led [checkbox name="variable_12" value="client|family|client/family"] in treatment planning and reviewed [checkbox name="variable_13" value="progress|lack of progress|maintenance"] in areas of [text name="variable_9" default="sample text"]. 

Assessment
Client meets criteria for [text name="variable_10" default="sample text"] disorder according to symptoms [checkbox name="variable_14" value="observed|reported"] in session today. While client's [text name="variable_11" default="sample text"] demonstrates that they are still struggling in certain areas, it is evident that the client is making progress per [checkbox name="variable_15" value="client report|family report|counselor's observations"]. Client will continue to benefit from interventions such as [checkbox name="variable_16" value="cognitive challenging/reframing|distress tolerance skill building|exposure therapy|play-based interventions|arts-based interventions|family-based interventions|psychoeducation|logotherapy/meaning-making"].

Plan
In follow-up sessions, counselor plans to continue utilizing interventions such as [text name="variable_12" default="sample text"] since [checkbox name="variable_17" value="client|family|spouse"] is responding well to these approaches. Counselor will monitor symptoms of [text name="variable_13" default="sample text"] to track progress towards goals listed above. In the future, the counselor might consider introducing additional interventions including [text name="variable_14" default="sample text"] to enhance effectiveness of therapy.