Trial

[text name="variable_1" default="sample text"]was presented [select name="variable_1" value="choice A|choice B|choice C"] for [select name="variable_1" value="choice A|choice B|choice C"]session which was conducted via [select name="variable_1" value="choice A|choice B|choice C"]Live video, live audio, live chat or messessaging 
OBJECTIVE/MENTAL STATUS EXAM:
Orientation:
[checkbox name="variable_1" value="option A|option B|option C"]Alert and oriented X4
 [checkbox name="variable_1" value="option A|option B|option C"]unable to assess due to cognitive impairment
Appearance:
[checkbox name="variable_1" value="option A|option B|option C"]Clean/Neat
 [checkbox name="variable_1" value="option A|option B|option C"]Casual
 [checkbox name="variable_1" value="option A|option B|option C"]Desheveled
Affect:
[checkbox name="variable_1" value="option A|option B|option C"]Full range
 [checkbox name="variable_1" value="option A|option B|option C"]Flat
 [checkbox name="variable_1" value="option A|option B|option C"]Blunted
[checkbox name="variable_1" value="option A|option B|option C"] Labile
 [checkbox name="variable_1" value="option A|option B|option C"]Tearful at times
 [checkbox name="variable_1" value="option A|option B|option C"]Flat, tearful & congruent with depressed & anxious mood
 [checkbox name="variable_1" value="option A|option B|option C"]Appropriate to mood and thoughts
 I[checkbox name="variable_1" value="option A|option B|option C"]nappropriate to mood and thoughts
 [checkbox name="variable_1" value="option A|option B|option C"]Restricted in range, mood congruent
Mood:
Euthymic
 [checkbox name="variable_1" value="option A|option B|option C"]Depressed
 [checkbox name="variable_1" value="option A|option B|option C"]Anxious
 I[checkbox name="variable_1" value="option A|option B|option C"]rritable
 [checkbox name="variable_1" value="option A|option B|option C"]Elevated
 [checkbox name="variable_1" value="option A|option B|option C"]Other[text name="variable_1" default="sample text"]
 Speech:
[checkbox name="variable_1" value="option A|option B|option C"] WNL
 [checkbox name="variable_1" value="option A|option B|option C"]Normal rate and rhythm, not pressured
 [checkbox name="variable_1" value="option A|option B|option C"]Pressured at times
 [checkbox name="variable_1" value="option A|option B|option C"]Soft
Behavior:
 [checkbox name="variable_1" value="option A|option B|option C"]WNL
 [checkbox name="variable_1" value="option A|option B|option C"]Appropriate
 [checkbox name="variable_1" value="option A|option B|option C"]Inappropriate
Thought process:
 [checkbox name="variable_1" value="option A|option B|option C"]WNL
 [checkbox name="variable_1" value="option A|option B|option C"]Logical, linear, goal directed
 [checkbox name="variable_1" value="option A|option B|option C"]Circumstantial
 [checkbox name="variable_1" value="option A|option B|option C"]Circumstantial but redirectable
[checkbox name="variable_1" value="option A|option B|option C"] Tangential
Insight/Judgement
 [checkbox name="variable_1" value="option A|option B|option C"]Good
 [checkbox name="variable_1" value="option A|option B|option C"]Fair
 [checkbox name="variable_1" value="option A|option B|option C"]Limited
 [checkbox name="variable_1" value="option A|option B|option C"]Poor
A/V Hallucinations:
 [checkbox name="variable_1" value="option A|option B|option C"]No history
 [checkbox name="variable_1" value="option A|option B|option C"]Denied A/V hallucinations
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed auditory hallucinations
 D[checkbox name="variable_1" value="option A|option B|option C"]enied auditory hallucinations
 [checkbox name="variable_1" value="option A|option B|option C"]Denied visual hallucinations
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed visual hallucinations

ASSESSMENT:
Safety/Risk Factors
 [checkbox name="variable_1" value="option A|option B|option C"]SI/HI denied
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed suicidal ideation
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed passive SI
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed active SI with a method but without plan or intent to Act
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed recent suicide attempt
 [checkbox name="variable_1" value="option A|option B|option C"]Endorsed Nonsuicidal Self-Injury
 D[checkbox name="variable_1" value="option A|option B|option C"]enied homicidal ideation
 [checklist name="variable_1" value="option A|option B|option C"]No additional risk factors present
 [text name="variable_1" default="sample text"]presented with symptoms related to 
[checkbox name="variable_1" value="option A|option B|option C"]Anxiety disorders
 T[checkbox name="variable_1" value="option A|option B|option C"]rauma and stressor related disorders
 [checkbox name="variable_1" value="option A|option B|option C"]Depressive disorders
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment disorders
 [checkbox name="variable_1" value="option A|option B|option C"]Neurodevelopmental disorders/ADHD/ASD
 [checklist name="variable_1" value="option A|option B|option C"]Other value="option A|option B|option C"]
The focus of the sessions included
[checkbox name="variable_1" value="option A|option B|option C"]Mood Management
[checkbox name="variable_1" value="option A|option B|option C"]Current symptoms/functioning
 [checkbox name="variable_1" value="option A|option B|option C"]Symptom management
 [checkbox name="variable_1" value="option A|option B|option C"]Management of depressive symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]Management of anxiety symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]Emotion dysregulation
 [checkbox name="variable_1" value="option A|option B|option C"]Distress intolerance
 [checkbox name="variable_1" value="option A|option B|option C"]Anger issues
 [checkbox name="variable_1" value="option A|option B|option C"]Negative cognitions
[checkbox name="variable_1" value="option A|option B|option C"] ADHD
 [checkbox name="variable_1" value="option A|option B|option C"]ADHD symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]ADHD treatment/medications
 [checkbox name="variable_1" value="option A|option B|option C"]Self-esteem
 [checkbox name="variable_1" value="option A|option B|option C"]Management of executive dysfunction

[checkbox name="variable_1" value="option A|option B|option C"]GENDER/SEXUALITY
 [checkbox name="variable_1" value="option A|option B|option C"]Gender identity
 [checkbox name="variable_1" value="option A|option B|option C"]Sexual orientation
 [checkbox name="variable_1" value="option A|option B|option C"]Coming out process
 [checkbox name="variable_1" value="option A|option B|option C"]Reactions from family/friends/others
[checkbox name="variable_1" value="option A|option B|option C"] ----OTHER TOPICS----
 H[checkbox name="variable_1" value="option A|option B|option C"]omework/assignment follow up
 [checkbox name="variable_1" value="option A|option B|option C"]Goals/treatment plan review
 [checkbox name="variable_1" value="option A|option B|option C"]Client history/background
 [checkbox name="variable_1" value="option A|option B|option C"]----ATTACHMENT ISSUES---
 [checkbox name="variable_1" value="option A|option B|option C"]Adult attachment style issues
 [checkbox name="variable_1" value="option A|option B|option C"]Attachment anxiety and avoidance
 [checkbox name="variable_1" value="option A|option B|option C"]Adult attachment anxiety
 [checkbox name="variable_1" value="option A|option B|option C"]Fear of developing intimate relationships
 [checkbox name="variable_1" value="option A|option B|option C"]Fear of interpersonal rejection and/or abandonment
 [checkbox name="variable_1" value="option A|option B|option C"]Adult attachment avoidance
 [checkbox name="variable_1" value="option A|option B|option C"]Fear of intimacy
 [checkbox name="variable_1" value="option A|option B|option C"]Excessive need for self-reliance
 [checkbox name="variable_1" value="option A|option B|option C"]Distrust of others

[checkbox name="variable_1" value="option A|option B|option C"]----RELATIONSHIP DISTRESS----
 [checkbox name="variable_1" value="option A|option B|option C"]Relationship dissatisfaction
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict/argument with partner
 [checkbox name="variable_1" value="option A|option B|option C"]Intimacy concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Infidelity/affair concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Child custody conflict
 [checkbox name="variable_1" value="option A|option B|option C"]Codependency issues
 [checkbox name="variable_1" value="option A|option B|option C"]Divorce issues
 Trust concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Communication problems with partner
 [checkbox name="variable_1" value="option A|option B|option C"]Breakup/acute relationship concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Abuse/IPV
[checkbox name="variable_1" value="option A|option B|option C"] Relationship trauma
[checkbox name="variable_1" value="option A|option B|option C"] ----ADJUSTMENT DISORDER----
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment to stressor(s)
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment to workplace changes
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment to job loss/change
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment to relationship changes
[checkbox name="variable_1" value="option A|option B|option C"] Adjustment to family life changes
 [checkbox name="variable_1" value="option A|option B|option C"]Adjustment to a developmental event
[checkbox name="variable_1" value="option A|option B|option C"] ----GRIEF/LOSS----
 [checkbox name="variable_1" value="option A|option B|option C"]Death of a family member
 [checkbox name="variable_1" value="option A|option B|option C"]Death of a friend
 [checkbox name="variable_1" value="option A|option B|option C"]Grief reactions
 [checkbox name="variable_1" value="option A|option B|option C"]Processing past regrets
 [checkbox name="variable_1" value="option A|option B|option C"]Processing grief
 [checkbox name="variable_1" value="option A|option B|option C"]Processing a death/loss
 [checkbox name="variable_1" value="option A|option B|option C"]----INTERPERSONAL PROBLEMS----
 [checkbox name="variable_1" value="option A|option B|option C"]Interpersonal conflict(s)
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict with friends
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict with family of origin
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict with extended family
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict within nuclear family
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict with partner/spouse
 [checkbox name="variable_1" value="option A|option B|option C"]Conflict with coworker(s)
 [checkbox name="variable_1" value="option A|option B|option C"]Communication issues
 [checkbox name="variable_1" value="option A|option B|option C"]Poor boundary setting
 [checkbox name="variable_1" value="option A|option B|option C"]Difficulty saying no to others
 [checkbox name="variable_1" value="option A|option B|option C"]Passive behaviors
 [checkbox name="variable_1" value="option A|option B|option C"]Aggressive behaviors
 [checkbox name="variable_1" value="option A|option B|option C"][checkbox name="variable_1" value="option A|option B|option C"]----BEHAVIORAL HEALTH ISSUES----
 [checkbox name="variable_1" value="option A|option B|option C"]Self-Care activities
 [checkbox name="variable_1" value="option A|option B|option C"]Sleep difficulty/concerns
[checkbox name="variable_1" value="option A|option B|option C"] Nutrition/eating habits
 [checkbox name="variable_1" value="option A|option B|option C"]Physical activity/exercise
 [checkbox name="variable_1" value="option A|option B|option C"]------SUBSTANCE USE ISSUES----
 [checkbox name="variable_1" value="option A|option B|option C"]Substance use concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Alcohol use concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Cannabis use concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Tobacco use concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Relapse prevention
 [checkbox name="variable_1" value="option A|option B|option C"]----TRAUMA----
 [checkbox name="variable_1" value="option A|option B|option C"]Family of origin dynamics
[checkbox name="variable_1" value="option A|option B|option C"] Past trauma event
 [checkbox name="variable_1" value="option A|option B|option C"]Recent trauma event
 [checkbox name="variable_1" value="option A|option B|option C"]Sexual trauma event
 [checkbox name="variable_1" value="option A|option B|option C"]Childhood trauma
 [checkbox name="variable_1" value="option A|option B|option C"]Past childhood abuse/neglect
 [checkbox name="variable_1" value="option A|option B|option C"]----STRESSORS----
 [checkbox name="variable_1" value="option A|option B|option C"]Life stressors
 [checkbox name="variable_1" value="option A|option B|option C"]Stressor/coping mechanism(s)
 [checkbox name="variable_1" value="option A|option B|option C"]Family dysfunction
 [checkbox name="variable_1" value="option A|option B|option C"]Work problems
 [checkbox name="variable_1" value="option A|option B|option C"]School problems
[checkbox name="variable_1" value="option A|option B|option C"] Bullying
 [checkbox name="variable_1" value="option A|option B|option C"]Work-related stress
[checkbox name="variable_1" value="option A|option B|option C"] Negative work environment
 [checkbox name="variable_1" value="option A|option B|option C"]Difficulty with work/life balance
 [checkbox name="variable_1" value="option A|option B|option C"]Financial issues
[checkbox name="variable_1" value="option A|option B|option C"] Legal issues
 [checkbox name="variable_1" value="option A|option B|option C"]Housing issues
 [checkbox name="variable_1" value="option A|option B|option C"]Relationship issues
 [checkbox name="variable_1" value="option A|option B|option C"]Parenting stress
 [checkbox name="variable_1" value="option A|option B|option C"]----MEDICAL & HEALTH ISSUES----
 [checkbox name="variable_1" value="option A|option B|option C"]Medical/health concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Medication concerns
 [checkbox name="variable_1" value="option A|option B|option C"]New diagnosis
 P[checkbox name="variable_1" value="option A|option B|option C"]hysical pain
 [checkbox name="variable_1" value="option A|option B|option C"]----RELIGIOUS ISSUES----
 [checklist name="variable_1" value="option A|option B|option C"]Religious/spiritual concerns
 [checkbox name="variable_1" value="option A|option B|option C"]Other
 [checkbox name="variable_1" value="option A|option B|option C"]SESSION GOALS[text name="variable_1" default="sample text"]
[checkbox name="variable_1" value="option A|option B|option C"] CLINICAL INTERVENTIONS:
 [checkbox name="variable_1" value="option A|option B|option C"]Provided supportive validation and used reflective listening, along with aiding client in processing thoughts, emotions and perceptions related to issues at hand and worked to develop more effective solutions/coping.
 [checkbox name="variable_1" value="option A|option B|option C"]Worked on cognitive restructuring by challenging automatic negative thoughts that contribute to depression and anxiety, and identified cognitive distortions also influencing mood.
 [checkbox name="variable_1" value="option A|option B|option C"]Reviewed the relationship between thoughts, feelings, and behaviors, and considered how to address ones feelings by modifying the other two constructs.
 [checkbox name="variable_1" value="option A|option B|option C"] Worked on emotional experiencing and processing of feelings that arise around certain stressors or events, that historically are pushed down, buried, or otherwise repressed. We considered the pitfalls of emotional avoidance including the onset or worsening of depression and anxiety.
[checkbox name="variable_1" value="option A|option B|option C"] Explored the patients stressors and frustrations.
 [checkbox name="variable_1" value="option A|option B|option C"]Utilized validation and empathy related to their frustrations and experiences.
 [checkbox name="variable_1" value="option A|option B|option C"]Explored some ways to improve distress/frustration tolerance, including healthy distraction (with enjoyable activities, focusing on others, counting, and tasks/chores), radical acceptance, self-soothing techniques, mindfulness, coping thoughts, and self-affirming thoughts.
 [checkbox name="variable_1" value="option A|option B|option C"]Explored fear of abandonment which is chronic and longstanding.
 [checkbox name="variable_1" value="option A|option B|option C"]Discussed how fear of abandonment does not make healthy decisions whereas the logical and more thoughtful does, and we want to recognize who is making decisions for them at different times as a way of developing cognitive dissonance from the thoughts, impulses, and decisions that fear of abandonment self makes.
 [checkbox name="variable_1" value="option A|option B|option C"]Explored tendencies towards perfectionism, and how this inherently implies a binary way of thinking, in which one has either been perfect or failed. We considered the inauthenticity of this thinking and how there is a spectrum between these points. We further considered how people make opinions of us based upon a number of interactions or data points such that an average is taken and the opinion is based upon this. Accordingly, one can have several positive data points which allows room to make some mistakes or have negative data points without drastically distorting the perception of us.
[checkbox name="variable_1" value="option A|option B|option C"] Worked on problematic reactions used to deal with extremely intense emotions and increasing understanding of what leads to problematic behaviors or responses to these emotions
[checkbox name="variable_1" value="option A|option B|option C"] Worked on relationship issues such as interpersonal conflict, role transitions, or grief that may contribute to the development or continuation of mental health problems or symptoms.
 [checkbox name="variable_1" value="option A|option B|option C"]Worked on unconscious influences and feelings that may be related to past events and interactions which allows for better self awareness, change, and recovery.
 [checkbox name="variable_1" value="option A|option B|option C"]Used solution focused techniques to help client identify solutions that are effective to improve functioning and overall wellbeing.
 [checkbox name="variable_1" value="option A|option B|option C"]Assisted the client identifying cognitive distortions and used cognitive restructuring techniques to re-frame challenges and difficult feelings to positive outlooks for self.
[checkbox name="variable_1" value="option A|option B|option C"] Practiced assertive communication skills to increase interpersonal effectiveness.
 [checkbox name="variable_1" value="option A|option B|option C"]Guided the client through the examination of unresolved conflicts and significant past events to gain insight.
 [checkbox name="variable_1" value="option A|option B|option C"]Engaged client in collaborative problem-solving and conflict-resolution skill building activities.
 [checkbox name="variable_1" value="option A|option B|option C"]Worked on building connecting past experiences to present behaviors.
[checkbox name="variable_1" value="option A|option B|option C"] Assisted the client in regulating and expressing emotions by providing a safe space for ventilation of thoughts and feelings without judgment.
 [checkbox name="variable_1" value="option A|option B|option C"]Assisted the client in gaining new insights into problems and symptoms.
 [checkbox name="variable_1" value="option A|option B|option C"]Reviewed the client's treatment plan and discussed progress towards goals.
 [checkbox name="variable_1" value="option A|option B|option C"]Worked on understanding and identifying emotional triggers and reviewed coping strategies client can utilize for emotional regulation.
 [checkbox name="variable_1" value="option A|option B|option C"] Provided psychoeducation related to client's symptom presentation and introduced the concept of mindfulness to aid in self regulation. 
 [checkbox name="variable_1" value="option A|option B|option C"]Taught client a grounding technique and helped client actively practice these within session. The client responded well towards learning these strategies and was open to incorporating these outside of session.
 [checkbox name="variable_1" value="option A|option B|option C"] Worked on completing a safety plan to address ongoing suicidal ideation and provide strategies and supports to utilize in managing distress and promoting safety.
[checkbox name="variable_1" value="option A|option B|option C"]Anxiety TX
[checkbox name="variable_1" value="option A|option B|option C"] Therapist prompted client to identify origins of anxiety related fears.
[checkbox name="variable_1" value="option A|option B|option C"] Therapist provided client with information related to cognitive distortions.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist and client discussed thoughts, feelings, and behaviors contributing to anxiety.
[checkbox name="variable_1" value="option A|option B|option C"]Therapist assisted client in identifying and reframing cognitive distortions.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist transitioned session to focus on development of mindfulness skills to address anxiety symptoms.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist taught client deep breathing techniques to better regulate and manage emotions.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist and client practiced learned skills together in session.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist validated client expression of emotions and praised client participation in session.
 [checkbox name="variable_1" value="option A|option B|option C"]Therapist closed session by developing a plan for completion of therapy homework with client speech input
The client’s observable reaction to these interventions were:
 [checkbox name="variable_1" value="option A|option B|option C"]positive
 e[checkbox name="variable_1" value="option A|option B|option C"]ngaged
 [checkbox name="variable_1" value="option A|option B|option C"]motivated
[checkbox name="variable_1" value="option A|option B|option C"] open
 [checkbox name="variable_1" value="option A|option B|option C"]resistant
 [checkbox name="variable_1" value="option A|option B|option C"]reluctant
 [checkbox name="variable_1" value="option A|option B|option C"]negative
 [checkbox name="variable_1" value="option A|option B|option C"]hesitant

Treatment progress:
[checkbox name="variable_1" value="option A|option B|option C"]Client progress in achieving treatment goals is best assessed as
 [comment memo="Text that will not show up in output"]responding well to interventions
 [checkbox name="variable_1" value="option A|option B|option C"]making some progress
 [checkbox name="variable_1" value="option A|option B|option C"]slow/slight progress
 [checkbox name="variable_1" value="option A|option B|option C"]fluctuating/intermittent progress
 [checkbox name="variable_1" value="option A|option B|option C"]maintaining past gains
[checkbox name="variable_1" value="option A|option B|option C"] maintaining current goal focus
[checkbox name="variable_1" value="option A|option B|option C"] an increase in symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]a decrease in symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]a significant escalation in symptoms
 [checkbox name="variable_1" value="option A|option B|option C"]minimal
 [checkbox name="variable_1" value="option A|option B|option C"]improving
 [checkbox name="variable_1" value="option A|option B|option C"]stable
[checkbox name="variable_1" value="option A|option B|option C"]as evidenced by client self-report, observed behavior, and level of engagement.
Therapist will also follow up on
 [checkbox name="variable_1" value="option A|option B|option C"]activity scheduling
 [checkbox name="variable_1" value="option A|option B|option C"]reframing/identifying cognitive distortions
 [checkbox name="variable_1" value="option A|option B|option C"]mindfulness exercises
 [checkbox name="variable_1" value="option A|option B|option C"]self care
 [checkbox name="variable_1" value="option A|option B|option C"]spending time with others
 [checkbox name="variable_1" value="option A|option B|option C"]prioritization/time management
 [checkbox name="variable_1" value="option A|option B|option C"]setting/maintaining boundaries
 [checkbox name="variable_1" value="option A|option B|option C"]utilization of communication tools
 [checkbox name="variable_1" value="option A|option B|option C"]utilization of coping strategies
 [checkbox name="variable_1" value="option A|option B|option C"]journaling
 [checkbox name="variable_1" value="option A|option B|option C"]modifying eating/exercise habits
 other