Ongoing Session Template

Session Date and Number: [insert date and session number] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Session Focus: [describe themes explored such as interpersonal patterns, trauma reprocessing, cognitive distortions, or schema work] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Content of session: [Focus primarily on the main themes, discussion points, and focal areas addressed during the session.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Summarize areas of improvement, key learnings, and outcomes as discussed by the client and therapist.] (Include any notable shifts in perspective, insight, or engagement if relevant. Note secondary topics or contextual factors only if they influenced the session's focus. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Client Presentation and Emotional Tone: [note affect, mood shifts, energy, insight, emotional avoidance or activation observed during session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Therapeutic Techniques and Interventions: [record use of CBT, ACT, psychodynamic, EMDR, mindfulness, psychoeducation or experiential strategies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Client Response: [comment on receptivity, emotional reaction, self-awareness, or resistance noted] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Progress towards goals: [note the client's progress toward established therapy goals, highlighting specific achievements or challenges.] (Include examples of behavioral or cognitive changes when relevant. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Note any barriers or setbacks impacting goal attainment if discussed.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Clinical Considerations and Risk: [briefly outline suicide/self-harm risk, support structures, dissociation or deterioration (if relevant)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Describe any new risks identified during the session] (e.g., safety concerns, self-harm, suicidality. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Note changes to ongoing risk factors, including escalation or reduction in risk.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Indicate if no new risks were identified] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Plan for Next Session: [log therapeutic direction, homework tasks, or themes to revisit] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Outline suggested topics or areas of focus for the next session based on current needs and progress.] (Include any planned interventions, homework, or follow-up actions if discussed. Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Note client preferences for future session content when relevant.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.)