PSYCHOTHERAPY NOTES

PSYCHOTHERAPY NOTES
Information:
Therapist Name
Client Name
Client ID
Session Date

MonthDayYear
Date
Session Number
1. Observations (Behavior, Mood, Affect)
2. Content of the Session (Themes, Issues, Discussed)

(Note: Avoid listing specific interventions or medications here)

.
3. Clinical Impressions (Hypotheses, Reactions, Associations)
4. Transference/Countertransference Noted
5. Therapist Reflections/Plans for Next Session
Confidential Psychotherapy Notes-Not to be included in the client's official medical or billing record.
Signature
Date

MonthDayYear
Date
Should be Empty: