Counsellor Consult Note

Current Presentation: [List key presenting issues or concerns] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Describe severity and impact of issues, including effect on mood, relationships, school/work, or daily function] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Session Content: [Provide detailed summary of topics explored during this session, including past experiences, current stressors, thought patterns, behaviours, or interpersonal issues discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include patient's thoughts, feelings, reflections or insights expressed during session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Note any significant realizations or cognitive/emotional shifts made during the session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Obstacles, Setbacks and Progress: [List main personal, social, emotional, or environmental obstacles impacting progress] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Describe any setbacks or relapses since last session, including context and coping strategies used] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Highlight strengths used or areas of psychological, emotional, or behavioural progress] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Session Summary: [Provide an overview of the session’s direction, patient’s engagement level, and key therapeutic processes used (e.g. CBT techniques, psychoeducation, trauma processing, supportive counselling)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Summarise key themes or patterns discussed, and emerging insight if applicable] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include therapist’s clinical observations, affect/mood, or interpretations relevant to formulation or treatment trajectory] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Next Steps: [List therapeutic homework, behaviour change strategies, coping techniques, or goals set for next session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Include date and time of next scheduled session] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)