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Psychiatrist Template

Brief ABA Therapy Session Notes

About this template

This Brief ABA Therapy Session Notes template is designed for mental health professionals involved in Applied Behavior Analysis (ABA) therapy. It provides a structured format to document key aspects of a therapy session, including client status, activities, goals, behaviors, and techniques used. This template is ideal for capturing concise yet comprehensive notes that can be easily referenced in future sessions. By using this template with Heidi, clinicians can efficiently document therapy sessions, ensuring all critical information is recorded and accessible.

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Provider Name: Dr. Emily Carter Date: 1 November 2024 People present: Dr. Emily Carter, John Doe (client), Jane Doe (mother) Client’s Clinical Status: At the beginning of the session, John appeared anxious and was exhibiting repetitive hand movements. He was non-verbal and required prompting to engage in activities. Activities/Services Client Participated in: John participated in a series of structured play activities designed to improve his social interaction skills. He engaged in turn-taking games and was encouraged to make eye contact during interactions. Goals Worked On: The session focused on enhancing John's communication skills, specifically increasing his use of gestures to express needs and improving his ability to follow simple instructions. Summary of Behaviors Observed: During the session, John initially resisted participation but gradually became more engaged. He responded positively to verbal praise and showed increased eye contact. However, he occasionally reverted to hand-flapping when frustrated. Summary of Techniques Used: The session utilized positive reinforcement and modeling techniques to encourage desired behaviors. Visual aids were also employed to help John understand the sequence of activities. Additional Information: John's mother reported that he had a restless night and was more irritable than usual. She also mentioned a recent change in his diet, which might be affecting his behavior.

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