Accredited Mental Health Social Worker Template

CBT Treatment Session

A professional Accredited Mental Health Social Worker template for healthcare professionals.

About this template

Need to document your Cognitive Behavioural Therapy (CBT) sessions? This template is designed for mental health professionals, such as Accredited Mental Health Social Workers, to efficiently record key aspects of each session. It covers reviews, interventions, client takeaways, risk assessments, homework, and future plans. This template helps you create detailed and accurate progress notes, ensuring all critical information is captured. With Heidi, this template can be quickly populated from your session transcript, saving you time and improving the quality of your documentation. Get organised and improve your clinical documentation with this CBT session template.

Preview template

CBT Treatment Session: Review: The client reported feeling more anxious in social situations over the past week, particularly when attending the weekly book club. She completed the thought record homework, identifying several cognitive distortions related to her self-perceived performance in social settings. She reported feeling overwhelmed by the amount of homework assigned in the previous session. Interventions carried out: We reviewed the client's thought record, identifying cognitive distortions such as catastrophizing and overgeneralization. We then practiced cognitive restructuring techniques, challenging the negative thoughts and replacing them with more balanced and realistic ones. We also used behavioural activation, encouraging the client to engage in a small, enjoyable social activity (e.g., calling a friend) to counteract avoidance behaviours. Clients learning/ takeaways: The client demonstrated a good understanding of cognitive distortions and was able to identify them in her own thought patterns. She expressed feeling more empowered to challenge her negative thoughts. She stated that she felt more confident in her ability to manage her anxiety in social situations. Risk update: The client denied any suicidal ideation or self-harming behaviours. She has a strong support network of friends and family. The client's anxiety levels have increased slightly over the past week, but she is coping well with the support of her family and friends. Homework assigned: The client was assigned to complete a thought record for any social situations that trigger anxiety. She was also asked to practice the cognitive restructuring techniques learned in the session. She was also asked to attend the book club and to make a note of her feelings and thoughts during the event. Plan - Continue to work on cognitive restructuring techniques. - Explore the client's core beliefs about social situations. - Schedule a follow-up session for 15 November 2024. - Review the client's progress in the next session.

CBT Treatment Session: Review: [describe general updates on the client's presentation since the last session and review any previously assigned homework, including completion and challenges] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Interventions carried out: [detail the specific therapeutic interventions employed during the session, including techniques used, the rationale behind them, and how they were applied] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Clients learning/ takeaways: [summarize key insights, skills, or understanding the client gained from the session, including their personal reflections or statements of learning] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Risk update: [provide an update on any current or potential risks identified, including changes in risk status, safety planning, or relevant protective factors] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Homework assigned: [list the specific tasks or activities assigned to the client to complete before the next session, including the purpose of each task] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Plan - [outline the future treatment plan, including goals for subsequent sessions, scheduled appointments, and any adjustments to the overall treatment strategy] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)

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